NPIMap

Organization Active NPI

Bispham Psychotherapy Inc.

  • Counselor
  • Sarasota, FL
National Provider Identifier
1871084822
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH15294 Issued in FL
Legal business name
BISPHAM PSYCHOTHERAPY INC.
Practice address
715 N Washington Blvd Ste a
Sarasota, FL 34236-4256
Phone
(941) 404-5557
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Shauna Bispham, LMHCNPI 1588032353
Title
Owner
Phone
(941) 544-1303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X MH15294 FL Primary

Addresses

Primary practice location

715 N Washington Blvd Ste a
Sarasota, FL 34236-4256

Mailing address

715 N Washington Blvd Ste a
Sarasota, FL 34236-4256
Phone (941) 404-5557

National Provider Directory

National Provider Directory

Locations

715 N Washington Blvd
Ste A
Sarasota, FL 34236
Phone (941) 306-8534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1871084822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N WASHINGTON BLVD STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364256",
            "telephone_number": "941-404-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N WASHINGTON BLVD STE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364256",
            "telephone_number": "941-404-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISPHAM PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "BISPHAM",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-544-1303",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH15294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.