Active NPI
Maureen McSweeney, PH.D.
- Clinical Psychologist
- Sarasota, FL
National Provider Identifier
1679639744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9316
- Practice address
- 1217 S East Ave
Ste 209
Sarasota, FL 34239-2329 - Phone
- (917) 612-3150
- Fax
- (718) 744-9540
- NPI assigned
- Dec 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9316 | FL | Primary |
Addresses
Primary practice location
1217 S East Ave
Ste 209
Sarasota, FL 34239-2329
Mailing address
1622 Clower Creek Dr
Apt Gr120
Sarasota, FL 34231-8926
Phone (917) 612-3150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101001720 | FL | Practitioner - Clinical Psychologist | 7517913502 | Practice locations: Sarasota, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5272 Station Way
Sarasota, FL 34233-3232
Phone (917) 612-3150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9316 | FL | MD | Clinical Psychologist |
| 012210 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Care Home Health, Inc. | Past | Accepting new patients | |
| Tillman Therapeutic Services, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1700938206
-
- Clinical Social Worker
- Sarasota, FL
- NPI 1841664836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623542400000",
"number": "1679639744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 CLOWER CREEK DR",
"address_2": "APT GR120",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318926",
"telephone_number": "917-612-3150",
"fax_number": "718-744-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S EAST AVE",
"address_2": "STE 209",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392329",
"telephone_number": "917-612-3150",
"fax_number": "718-744-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSWEENEY",
"first_name": "MAUREEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-30",
"last_updated": "2021-06-13",
"certification_date": "2021-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.