JOHN P MCDONOUGH III (NPI# 1346280161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346280161 |
| Entity Type | Organization |
| Organization Name | JOHN P MCDONOUGH III |
| Other Organization Name | GERIATRIC PSYCHOLOGICAL SPECIALISTS |
| Practice Address |
2223 Shadehill Ct Tampa FL 33612-5024 |
| Practice Telephone | 8134954773 |
| Mailing Telephone | 8134954773 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | DR. JOHN P. MCDONOUGH III (PRESIDENT) |
| Authorized Official Telephone | 8134954773 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Geriatric Psychological Specialists | Doing Business As Name - Organization |
| Street Address |
2223 SHADEHILL CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184996571 | Beverly Burroughs | Social Worker | 2223 Shadehill Ct, Tampa, FL 33612-5024 | 2012-02-01 |
| 1295051175 | Kathleen Ginn Attaway | Social Worker | 2223 Shadehill Ct, Tampa, FL 33612-5024 | 2010-04-16 |
| 1871818021 | Michele J Prentice | Social Worker | 2223 Shadehill Ct, Tampa, FL 33612-5024 | 2010-03-31 |
| 1669670378 | Denise Corinna Makowski | Psychologist | 2223 Shadehill Ct, Suite 126, Tampa, FL 33612-5024 | 2007-07-03 |
| 1831244714 | John Patrick Mcdonough IIi | Psychologist | 2223 Shadehill Ct, Tampa, FL 33612-5024 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
|---|---|---|---|---|
| 1063035392 | Dr Patti L Barrows Inc | Psychologist | 9403 Oak Meadow Ct, Tampa, FL 33647-2526 | 2020-05-21 |
| 1497313514 | Beth C. Boone, Ph.d., Pllc | Psychologist | Paragon Counseling - 14448 Bruce B Downs Blvd Fl 33613, Tampa, FL 33613-2612 | 2019-06-04 |
| 1205314804 | Advanced Behavior Center Inc | Psychologist | 5108 N Habana Ave Ste 1&2, Tampa, FL 33614-6822 | 2018-08-06 |
| 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 |
| 1245634294 | Child and Family Learing | Psychologist | 16105 Cadbury Ct, Tampa, FL 33647-1135 | 2014-10-20 |
| Find all providers in TAMPA | ||||
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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.