PROFESSIONAL PSYCHOLOGY OF PINELLAS PLLC (NPI# 1134691645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134691645 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PSYCHOLOGY OF PINELLAS PLLC |
| Practice Address |
12360 66th St Ste 930 Largo FL 33773-3434 |
| Practice Telephone | 1727417281 |
| Mailing Telephone | 1727417281 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | DR. TIA KERN-BUTLER (OWNER) |
| Authorized Official Telephone | 7274172812 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
12360 66TH ST STE 930 |
| City | LARGO |
| State | FL |
| Zip Code | 33773-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184637779 | Tia Kern-butler | Psychologist | 12360 66th St Ste 930, Largo, FL 33773-3434 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264002 | Armstead & Associates, LLC | Clinic/Center | 1300 Mercantile Ln Ste 129-31, Largo, MD 20774-5327 | 2020-01-21 |
| 1285193425 | Safe Harbor Counseling L.L.C. | Clinic/Center | 801 W Bay Dr Ste 111, Largo, FL 33770-3269 | 2019-03-18 |
| 1154598308 | Qci Behavioral Health Consulting Group, LLC | Clinic/Center | 9475 Lottsford Rd Ste 250, Largo, MD 20774-5346 | 2008-05-15 |
| 1184841611 | Village Family Network, Inc. | Clinic/Center | 1400 Mercantile Ln Ste 204, Largo, MD 20774-5352 | 2007-04-19 |
| 1518586049 | Elevated Minds LLC | Clinic/Center | 9701 Apollo Dr Ste 100, Largo, MD 20774-4785 | 2020-04-14 |
| 1114584091 | Mending Minds Wellness Center | Clinic/Center | 1401 Mercantile Lane, Suite 485, Largo, MD 20774-2005 | 2019-05-25 |
| 1164788154 | Baycare Behavioral Health Inc. | Clinic/Center | 8787 Bryan Dairy Rd, Suite 275, Largo, FL 33777-1251 | 2012-04-04 |
| 1831485911 | Timothy Pass | Clinic/Center | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-06-27 |
| 1730320615 | Health Care Alternatives of West Florida, Inc. | Clinic/Center | 270 Clearwater Largo Rd N, Largo, FL 33770-2334 | 2009-03-23 |
| 1619149598 | Village Family Network, Inc. | Clinic/Center | 1400 Mercantile Ln Ste 204, Largo, MD 20774-5352 | 2008-03-31 |
| Find all providers in LARGO | ||||
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| 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.