Organization Active NPI

Vincent P Skotko PHD

  • Cognitive & Behavioral Psychologist
  • Tampa, FL
National Provider Identifier
1629489331
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PY2791 Issued in FL
Legal business name
VINCENT P SKOTKO PHD
Practice address
722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3133
Phone
(813) 224-0249
Fax
(813) 228-0192
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rebecca Brawley, B.A.
Title
Office Manager
Phone
(813) 224-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X PY2791 FL Primary

Addresses

Primary practice location

722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3133

Mailing address

722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3133
Phone (813) 224-0249

National Provider Directory

National Provider Directory

Locations

722 W Dr Martin Luther King Jr Blvd
Tampa, FL 33603
Phone (813) 221-8122

Practitioners & affiliated clinicians

Practitioners 1

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": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1629489331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033133",
            "telephone_number": "813-224-0249",
            "fax_number": "813-228-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033133",
            "telephone_number": "813-224-0249",
            "fax_number": "813-228-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT P SKOTKO PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BRAWLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-224-0249",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.