Treasure Coast Neuropsychology PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TREASURE COAST NEUROPSYCHOLOGY PA

Practice address

10570 S US Highway 1 Ste 300
Port St Lucie, FL 34952-5606

Phone

(772) 278-5508

Fax

(772) 673-6225

NPI assigned

Oct 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ashley J Tanton, PSY.D.NPI 1598191801

Title

Owner & Clinical Neuropsychologist

Phone

(772) 278-5508

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley J Tanton, PSY.D.

  • Clinical Neuropsychologist
  • Port Saint Lucie, FL
  • NPI 1598191801
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Alberty, PH.D.

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1467864066

  FL

  Medicare reassignment Care Compare group
• John Michael Poli, LMHC, CAP

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1215947155
  NPD
• Leelan Nicholas Michael Bhagwandeen, PSYD

  • Clinical Neuropsychologist
  • Port St Lucie, FL
  • NPI 1093661159
  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1689454613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1 STE 300",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-278-5508",
            "fax_number": "772-673-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1 STE 300",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-278-5508",
            "fax_number": "772-673-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST NEUROPSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "TANTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER & CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "772-278-5508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Treasure Coast Medical Management, LLC
• Treasure Coast Medicine LLC
• Treasure Coast Neurology West, LLC
• Treasure Coast Optical, Inc. (Dr. Tari Schmit)
• Treasure Coast Oral & Maxillofacial Surg & Dental Implant Surg Inc
• Treasure Coast Pathology, PA
• Treasure Coast Pathology, PA
• Treasure Coast Pulmonary Medicine, P.a.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.