Individual provider Active NPI

Adam B. Lewin, PHD

  • Clinical Psychologist
  • St Petersburg, FL
National Provider Identifier
1689996134
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8063 Issued in FL
Practice address
800 6TH St S
Childrens Health Ctr
St Petersburg, FL 33701-4817
Phone
(727) 767-4150
Fax
(727) 767-8532
NPI assigned
Feb 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 PY8063 FL Primary

Addresses

Primary practice location

800 6TH St S
Childrens Health Ctr
St Petersburg, FL 33701-4817

Mailing address

PO Box 917770
Orlando, FL 32891-0001
Phone (813) 974-2201

Other identifiers 1

IdentifierTypeStateIssuer
593CCOtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address alewin91934@direct.tgh.org
Direct Messaging Address alewin91934@direct.tgh.org

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
I20100324000103 FL Practitioner - Clinical Psychologist 8527193952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 6TH S St
Saint Petersburg, FL 33701-4817
Phone (727) 767-4150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc CurrentSince Mar 1, 2010 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc Clinical CurrentSince Mar 1, 2010 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

800 6th St S
St Petersburg, FL 33701
Phone (727) 767-4150

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

Interoperability endpoints

  • Direct secure messaging: alewin91934@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1689996134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "813-974-2201",
            "fax_number": "813-974-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 6TH ST S",
            "address_2": "CHILDRENS HEALTH CTR",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014817",
            "telephone_number": "727-767-4150",
            "fax_number": "727-767-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "ADAM",
        "middle_name": "B.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "593CC",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alewin91934@direct.tgh.org",
            "affiliation": "N",
            "address_1": "800 6th St S",
            "address_2": "Childrens Health Ctr",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alewin91934@direct.tgh.org",
            "affiliation": "N",
            "address_1": "800 6th St S",
            "address_2": "Childrens Health Ctr",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.