Organization Active NPI

Winner Self Psychological Services Corp

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1699300343
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WINNER SELF PSYCHOLOGICAL SERVICES CORP
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(305) 901-8832
NPI assigned
Mar 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Authorized official

Name
Airely Jimenez, PSYD
Title
President
Phone
(305) 901-8832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (305) 901-8832

National Provider Directory

National Provider Directory

Locations

7600 SW 57th Ave
Ste 307
South Miami, FL 33143
Phone (305) 302-1793

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1699300343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "305-901-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "305-901-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNER SELF PSYCHOLOGICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-07-22",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "AIRELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-901-8832",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.