PINELLAS PSYCHIATRIC SERVICES, LLC (NPI# 1295075372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295075372 |
| Entity Type | Organization |
| Organization Name | PINELLAS PSYCHIATRIC SERVICES, LLC |
| Practice Address |
25 Franklin Ct S Unit A St Petersburg FL 33711-5136 |
| Practice Telephone | 7273854455 |
| Mailing Telephone | 7273854455 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | BERNY EXCELLENT (OWNER) |
| Authorized Official Telephone | 7273854455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
ME 58124 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA MEDICAL LICENSE | ME 58124 | 01 |
| Street Address |
25 FRANKLIN CT S UNIT A |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-5136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795629 | Florida Psych Services Inc. | Psychologist | 13436 Sw Pembroke Cir N, Lake Suzy, FL 34269-6909 | 2016-04-22 |
| 1053712125 | Lysal Enterprises, Inc. | Psychologist | 7215 Zapata Dr, Jacksonville, FL 32210-4772 | 2014-09-09 |
| 1376883074 | Pauline S Powers Md LLC | Psychologist | 7401 Temple Terrace Hwy Ste A, Temple Terrace, FL 33637-5784 | 2013-02-18 |
| 1982836391 | Back Door, LLC | Psychologist | 1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657 | 2009-08-18 |
| 1508046855 | Sunrise Mental Health Inc | Psychologist | 250 Brooks Street, Suite C, Fort Walton Beach, FL 32548 | 2007-11-05 |
| 1245429463 | Broward Institute of Neuro Science L L C | Psychologist | 7501 Wiles Rd Ste 105, Coral Springs, FL 33067-2063 | 2007-10-24 |
| 1083802821 | Treasure Coast Psychiatric Services, P.a. | Psychologist | 789 S Federal Hwy Suite 213, Stuart, FL 34994-2962 | 2007-10-05 |
| 1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
| 1346465424 | Janis Faith Heffron | Psychologist | 1317 Winewood Blvd Ste 6 Room 213, Tallahassee, FL 32399-6570 | 2007-04-16 |
| 1093176091 | Vijapura Behavioral Health | Psychologist | 9141 Cypress Green Dr, Suite 1, Jacksonville, FL 32256-2013 | 2016-03-18 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on PINELLAS PSYCHIATRIC SERVICES, LLC.
| 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.