Active NPI
Allison Schimmel-Bristow, PH.D.
- Clinical Psychologist
- Saint Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11960
- Practice address
- 880 6TH St S
Saint Petersburg, FL 33701-4827 - Phone
- (727) 767-4824
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PY11960 | FL | Primary |
Addresses
Primary practice location
880 6TH St S
Saint Petersburg, FL 33701-4827
Mailing address
880 6TH St S
Saint Petersburg, FL 33701-4827
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1411 N W Shore Blvd
Suite 115
Tampa, FL 33607-4564
Phone (813) 844-3541
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11960 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Clinical | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
1411 N West Shore Blvd
Ste 115
Tampa, FL 33607
Phone (813) 844-3541
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- aschimmelbristow342421@direct.tgh.org
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Family Medicine Physician
- Tampa, FL
- NPI 1689000176
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1801463948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 6TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 6TH ST S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014827",
"telephone_number": "727-767-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMMEL-BRISTOW",
"first_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.