PEACE RIVER PSYCHOLOGY CENTER PA (NPI# 1003049172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003049172 |
| Entity Type | Organization |
| Organization Name | PEACE RIVER PSYCHOLOGY CENTER PA |
| Practice Address |
425 Cross St Ste 111 Punta Gorda FL 33950-4877 |
| Practice Telephone | 9415056162 |
| Practice Fax Number | 9415058604 |
| Mailing Telephone | 9415056162 |
| Mailing Fax Number | 9415058604 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | KARIN GALLIANO (OWNER) |
| Authorized Official Telephone | 9415056162 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY6197 | FL | Behavioral Health & Social Service Providers |
| Street Address |
425 CROSS ST STE 111 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001849 | Deborah Burgess | Counselor | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-26 |
| 1073877643 | Daniel B Goldman Phd, LLC | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2012-06-28 |
| 1114288487 | Daniel Bass Goldman | Psychologist | 425 Cross St, #111, Punta Gorda, FL 33950-4877 | 2012-06-04 |
| 1487890547 | Wilshire Medical Arts Pa | Internal Medicine | 425 Cross St, Suite 311 & 312, Punta Gorda, FL 33950-4877 | 2008-12-19 |
| 1497829584 | Luis D Berrios | Family Medicine | 425 Cross St, Unit 311 & 312, Punta Gorda, FL 33950-4877 | 2006-11-20 |
| 1962519025 | Suzanne Spross | Psychologist | 425 Cross St, Punta Gorda, FL 33950-4877 | 2006-08-24 |
| 1558376905 | Douglas James Shadle | Psychiatry & Neurology | 425 Cross St, Suite 116, Punta Gorda, FL 33950-4872 | 2006-07-31 |
| 1346233095 | Steven R Pollard | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-29 |
| 1063405785 | Karin Galliano | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376706358 | Linda Carol Harrison-thie | Psychologist | 1640 Via Bianca, Punta Gorda, FL 33950-5213 | 2008-07-09 |
| 1023233962 | George C Hunter | Psychologist | 290 Belvedere Ct, Punta Gorda, FL 33950-6421 | 2007-04-16 |
| 1962519025 | Suzanne Spross | Psychologist | 425 Cross St, Punta Gorda, FL 33950-4877 | 2006-08-24 |
| 1346233095 | Steven R Pollard | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-29 |
| 1063405785 | Karin Galliano | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1447866405 | Daniel Martinez | Psychologist | 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 | 2020-09-16 |
| 1134731367 | North Florida Neuropsychology, LLC | Psychologist | 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 | 2020-08-19 |
| 1215547153 | Ellen Frances Price Phd | Psychologist | 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 | 2020-08-05 |
| 1811515745 | Sarah Amelia Sanon | Psychologist | 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 | 2020-07-07 |
| 1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
| 1689291833 | Bridget Cabibi | Psychologist | 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 | 2020-07-02 |
| 1912524414 | Infinity Doctors Inc. | Psychologist | 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on PEACE RIVER PSYCHOLOGY CENTER PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.