Active NPI
Family Psychology Associates Inc
- Family Psychologist
- Safety Harbor, FL
National Provider Identifier
1598801110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Legal business name
- FAMILY PSYCHOLOGY ASSOCIATES INC
- Practice address
- 801 2ND St N Ste 7
Safety Harbor, FL 34695-3503 - Phone
- (727) 725-8820
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael T Smith, PHD
- Title
- Owner
- Phone
- (727) 725-8820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | Primary | ||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Mailing address
801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone (727) 725-8820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229318 | Other | FL | AMERIGROUP GROUP NUMBER |
| 99280 | Other | FL | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050727000658 | FL | Part B Supplier - Clinic/Group Practice | 1557399037 |
Receives reassigned benefits from 20 practitioners Practice locations: Safety Harbor, FL |
National Provider Directory
National Provider DirectoryLocations
801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820
5628 Central Ave
Apt 1
St Petersburg, FL 33707
10751 Maple Creek Dr
Ste 101
Trinity, FL 34655
Practitioners & affiliated clinicians
Practitioners 27
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1598801110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 2ND ST N STE 7",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953503",
"telephone_number": "727-725-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 2ND ST N STE 7",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953503",
"telephone_number": "727-725-8820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PSYCHOLOGY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-725-8820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP GROUP NUMBER",
"identifier": "229318",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "99280",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.