Organization Active NPI

Guy L Tewksbury, PH.D. PA

  • Clinical Psychologist
  • Largo, FL
National Provider Identifier
1982978193
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4179 Issued in FL
Legal business name
GUY L TEWKSBURY, PH.D. PA
Practice address
11590 Seminole Blvd
Largo, FL 33778-3204
Phone
(727) 375-5924
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Guy L Tewksbury, PH.D PA
Title
President
Phone
(727) 375-5924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY4179 FL Primary

Addresses

Primary practice location

11590 Seminole Blvd
Largo, FL 33778-3204

Mailing address

50 8TH Ave SW
# 2006
Largo, FL 33770-3638
Phone (727) 375-5924

National Provider Directory

National Provider Directory

Locations

11590 Seminole Blvd
Largo, FL 33778
Phone (727) 375-5924

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1982978193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 8TH AVE SW",
            "address_2": "# 2006",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703638",
            "telephone_number": "727-375-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783204",
            "telephone_number": "727-375-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY L TEWKSBURY, PH.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "TEWKSBURY",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-375-5924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D PA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.