Active NPI
Danielle Mason Sutton, PHD
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1780848689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7749
- Practice address
- 6543 Gunn Hwy
Tampa, FL 33625-4021 - Phone
- (813) 857-0009
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7749 | FL | Primary |
Addresses
Primary practice location
6543 Gunn Hwy
Tampa, FL 33625-4021
Mailing address
6543 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 857-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74004 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7749 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341792000000",
"number": "1780848689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6543 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254021",
"telephone_number": "813-857-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6543 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254021",
"telephone_number": "813-857-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "DANIELLE",
"middle_name": "MASON",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2012-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "74004",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.