Individual provider Active NPI

Michael Thomas Plasay

  • Clinical Psychologist
  • Tallahassee, FL
National Provider Identifier
1750819066
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9050 Issued in FL
Practice address
2056 Centre Pointe LN
Tallahassee, FL 32308-4300
Phone
(850) 877-9355
Fax
(850) 552-0608
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9050 FL Primary

Addresses

Primary practice location

2056 Centre Pointe LN
Tallahassee, FL 32308-4300

Mailing address

128 Revell Rd
Crawfordville, FL 32327-2413
Phone (850) 631-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9050FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1750819066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 REVELL RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272413",
            "telephone_number": "18506318660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 CENTRE POINTE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084300",
            "telephone_number": "850-877-9355",
            "fax_number": "850-552-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASAY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "9050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.