PSYCHOLOGICAL MANAGEMENT GROUP, PA (NPI# 1144384264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144384264 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL MANAGEMENT GROUP, PA |
| Practice Address |
15436 N Florida Ave Ste 102 Tampa FL 33613-1225 |
| Practice Telephone | 8139631016 |
| Practice Fax Number | 8139616591 |
| Mailing Telephone | 8139631016 |
| Mailing Fax Number | 8139616591 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | DR. ROBERT C. WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 8139631016 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY4542 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC BS | 94978 | 01 |
| Street Address |
15436 N FLORIDA AVE STE 102 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524859 | Elements of Intervention, LLC | Psychologist | 106 W Columbus Dr, Tampa, FL 33602-1440 | 2019-05-22 |
| 1396202404 | Leila Ibrahim Durr | Psychologist | 14055 Riveredge Dr Ste 250, Tampa, FL 33637-2141 | 2019-02-25 |
| 1437657806 | Tampa Bay Counseling Services, LLC | Psychologist | 5331 Primrose Lake Cir Ste 223, Tampa, FL 33647-3751 | 2018-01-31 |
| 1427596717 | Julius Denson II | Psychologist | 13409 Thomasville Cir Apt G, Tampa, FL 33617-9534 | 2017-02-07 |
| 1982958633 | Be-cos, Inc | Psychologist | 1603 North Florida Ave, Tampa, FL 33602-2615 | 2012-11-02 |
| 1326390329 | Jissenia Perez | Psychologist | 14008 Saulk Ct Apt 137, Tampa, FL 33613-3943 | 2012-10-15 |
| 1639424930 | Sheriece Sadberry | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2012-07-23 |
| 1841526605 | Martha Wrenn Putney | Psychologist | 7958 Terrace Ridge Dr, Tampa, FL 33637-3000 | 2009-10-28 |
| 1376714188 | James John Messina | Psychologist | 6319 Chauncy St, Tampa, FL 33647-1106 | 2008-03-19 |
| 1215146246 | Susan Patricia Phillips | Psychologist | 17742 Nathans Dr, Tampa, FL 33647-2264 | 2007-05-22 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on PSYCHOLOGICAL MANAGEMENT GROUP, 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.