Individual provider Active NPI

Maureen McSweeney, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1679639744
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9316 Issued in FL
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

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PY9316FLMDClinical Psychologist
012210NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Care Home Health, Inc. Past Accepting new patients
Tillman Therapeutic Services, PLLC PastSince Jun 22, 2021 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.

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

Verify at the official NPI Registry.