Individual provider Active NPI

Denise Corinna Makowski, PSY.D.

  • Psychologist
  • Tampa, FL
National Provider Identifier
1669670378
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5679 Issued in FL
Practice address
2223 Shadehill CT
Suite 126
Tampa, FL 33612-5024
Phone
(813) 495-4773
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5679 FL Primary
Psychologist 103T00000X 071.007312 IL

Addresses

Primary practice location

2223 Shadehill CT
Suite 126
Tampa, FL 33612-5024

Mailing address

10164 Gulf Blvd
Treasure Island, FL 33706-4809
Phone (941) 224-8526

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.007312ILMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1669670378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10164 GULF BLVD",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064809",
            "telephone_number": "941-224-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SHADEHILL CT",
            "address_2": "SUITE 126",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125024",
            "telephone_number": "813-495-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "DENISE",
        "middle_name": "CORINNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5679",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.007312",
            "primary": false
        }
    ],
    "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 Sep 26, 2013; 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.