Individual provider Active NPI

David Joseph Alexander, PSYD

  • Psychologist
  • Land O' Lakes, FL
National Provider Identifier
1770053464
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10336 Issued in FL
Practice address
20747 Sterlington Dr
Land O Lakes, FL 34638-4317
Phone
(813) 635-6350
Fax
(813) 948-0094
NPI assigned
Nov 26, 2018
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY10336 FL Primary

Addresses

Primary practice location

20747 Sterlington Dr
Land O Lakes, FL 34638-4317

Mailing address

20747 Sterlington Dr
Land O Lakes, FL 34638-4317
Phone (813) 635-6350

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
I20190726000090 FL Practitioner - Clinical Psychologist 9335475474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20747 Sterlington Dr
Land O Lakes, FL 34638-4317
Phone (813) 635-6350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Institute for Psychological and Behavioral Health, P.a. CurrentSince Jun 4, 2019 Accepting new patients

Locations

20747 Sterlington Dr
Land O Lakes, FL 34638
Phone (813) 907-9191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1770053464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-635-6350",
            "fax_number": "813-948-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20747 STERLINGTON DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346384317",
            "telephone_number": "813-635-6350",
            "fax_number": "813-948-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.