University Parkway Behavioral Health

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

CME 5967827 Issued in FL

Legal business name

UNIVERSITY PARKWAY BEHAVIORAL HEALTH

Doing business as

University Behavioral Health

Practice address

950 S Tamiami TRL
Suite 103
Sarasota, FL 34236-7840

Phone

(941) 315-6895

Fax

(941) 421-0102

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Michael Gabriel Mariano

Title

Ceo

Phone

(941) 315-6895

Specialties & licenses 1

Addresses

Other names 1

• University Behavioral Health Doing business as

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1972850527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-315-6895",
            "fax_number": "941-421-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S TAMIAMI TRL",
            "address_2": "SUITE 103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367840",
            "telephone_number": "941-315-6895",
            "fax_number": "941-421-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PARKWAY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-315-6895"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "CME 5967827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prescribing (Medical) Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Prescribing (Medical) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.