NPIMap

Organization Active NPI

Alchemy Acupuncture Psychotherapy

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1972834026
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 9349 Issued in FL
Legal business name
ALCHEMY ACUPUNCTURE PSYCHOTHERAPY
Practice address
5607 26TH St W
Bradenton, FL 34207-3516
Phone
(941) 779-7443
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Lisa M Grossman, DOM, AP, LCSWNPI 1578797510
Title
Owner
Phone
(941) 779-7443

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1030424 MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW 9349 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2683 FL

Addresses

Primary practice location

5607 26TH St W
Bradenton, FL 34207-3516

Mailing address

7711 Desoto Memorial Hwy
Bradenton, FL 34209-9789
Phone (941) 779-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000423 FL Part B Supplier - Clinic/Group Practice 1658416540 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

3651 Cortez Rd W
Ste 300
Bradenton, FL 34210
Phone (941) 229-2122

501 Village Green Pkwy
Ste 4
Bradenton, FL 34209
Phone (941) 779-7443

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1972834026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 DESOTO MEMORIAL HWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342099789",
            "telephone_number": "941-779-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073516",
            "telephone_number": "941-779-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY ACUPUNCTURE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-779-7443",
        "authorized_official_credential": "DOM, AP, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030424",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9349",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.