PROF. AMBER MICHELLE GUM


Address: 5802 N 30th St, Tampa, FL 33610-1469
Phone: 8132365250

PROF. AMBER MICHELLE GUM (NPI# 1164052445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164052445
Entity Type Individual
Full Name PROF. AMBER MICHELLE GUM
Credential PH.D.
Practice Address 5802 N 30th St
Tampa
FL 33610-1469
Mailing Address 6002 N Central Ave
Tampa
FL 33604-6708
Practice Telephone 8132365250
Enumeration Date 2020-01-25
Last Update Date 2020-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY7026 FL Behavioral Health & Social Service Providers

Office Location

Street Address 5802 N 30TH ST
City TAMPA
State FL
Zip Code 33610-1469

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NPI Name Taxonomy Address Enumeration
1164482410 Satya S Kurakula Family Medicine 5802 N 30th St, Tampa, FL 33610-1469 2006-03-23
1417416843 Bianca Clermont Nurse Practitioner 5802 N 30th St, Tampa, FL 33610-1469 2019-03-15
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1992016950 Jorayn Lundy Nurse Practitioner 5802 N 30th St, Tampa, FL 33610-1469 2010-06-24
1265697924 Aditi Vinayak Purandare Internal Medicine 5802 N 30th St, Tampa, FL 33610 2008-07-22
1013117084 Stephanie Austin Nurse Practitioner 5802 N 30th St, Tampa, FL 33610-1469 2007-07-19
1811028798 Karen Sue Mcdonald Nurse Practitioner 5802 N 30th St, Genesis Clinic, Tampa, FL 33610-1469 2007-03-09
1255418570 Kara Burke Nurse Practitioner 5802 N 30th St, Tampa, FL 33610-1469 2006-11-01
1477576460 University Medical Service Association Inc Family Medicine 5802 N 30th St, Mdc 15, Tampa, FL 33610-1469 2006-07-25
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NPI Name Taxonomy Address Enumeration
1184273161 Mayra Iris Pesante Lopez Behavior Technician 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 2019-09-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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1962980292 Kenya Latonya King Psychologist 14502 N Dale Mabry Highway, Tampa, FL 33618-2705 2018-07-30
1275024069 Ulrike Barbara Wolter Psychologist 1209 E Cumberland Ave Unit 2801, Tampa, FL 33602-4262 2018-05-29
1225536287 Interface Consulting and Psychological Services, LLC Psychologist 5606 N Nebraska Ave, Tampa, FL 33604-7124 2018-01-24
1437500246 Sylvia Johnson Psychologist 11901 Middlebury Dr, Tampa, FL 33626-2521 2016-06-23
1306291067 Melina Scally Psyd LLC Psychologist 1506 N 15th St, Tampa, FL 33605-5044 2016-05-02
1104283142 Geeta R Arora Psychologist 5106 Lanai Way, Tampa, FL 33624-2537 2016-01-21
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Competitor

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City TAMPA
Zip Code 33610

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Dataset Information

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.

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