Active NPI
Alexis May Charrys, PSYD
- Clinical Psychologist
- Valrico, FL
National Provider Identifier
1619368958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11546
- Practice address
- 3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630 - Phone
- (813) 291-4660
- NPI assigned
- Feb 9, 2015
- Last updated
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16356 | FL | |
| Behavior Analyst | 103K00000X | 0-14-6259 | FL | |
| Clinical Psychologist | 103TC0700X | PY11546 | FL | Primary |
Addresses
Primary practice location
3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630
Mailing address
3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630
Phone (813) 291-4660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16356 | FL | MD | Mental Health Counselor |
| PY11546 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welcoming Acceptance and Resilience Through Intensive Outpatient Recovery, LLC. | Mental Health | Current | Accepting new patients |
Locations
3005 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (813) 425-2569
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba W.a.R.R.I.O.R, LLC.
- Clinical Psychologist
- Valrico, FL
- NPI 1962216812
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1619368958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 LITHIA PINECREST RD",
"city": "VALRICO",
"state": "FL",
"postal_code": "335965630",
"telephone_number": "813-291-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 LITHIA PINECREST RD",
"city": "VALRICO",
"state": "FL",
"postal_code": "335965630",
"telephone_number": "813-291-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARRYS",
"first_name": "ALEXIS MAY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16356",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-14-6259",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
- Yunia Casas Pompa
- Briana Alexis Cassiba, RBT
- CCR ABA Therapy Services Inc
- Lisa Champoux-Rhoden, M.D.
- Yu-Pei Chang
- Cheer Counseling Inc.
- Children Having Opportunities in a Caring Environment Inc. (C.H.O.I.C.E. Inc.)
- Samantha Chu
- Teri Marie Claassen, MSW, LCSW
- Clarity Center for Behavioral Health and Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.