SHIP PORT PSYCH SERVICES LLC (NPI# 1669798278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669798278 |
| Entity Type | Organization |
| Organization Name | SHIP PORT PSYCH SERVICES LLC |
| Practice Address |
5637 Marine Pkwy New Port Richey FL 34652-4316 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 7278345744 |
| Practice Fax Number | 7278345717 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | GREGORY J BRYNE (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Street Address |
5637 MARINE PKWY |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472346 | Lanny Chuang | Radiology | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2005-07-26 |
| 1811514342 | William Thomas Manley | Nurse Practitioner | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2020-07-01 |
| 1699960047 | Timothy Lee | Internal Medicine | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2007-09-10 |
| 1578763603 | Corinth Inpatient Services LLC | Internal Medicine | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2007-07-18 |
| 1659402964 | Mark Benedict Polles | Nurse Practitioner | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2007-03-08 |
| 1235284951 | Kelly Erin Mahany | Nurse Practitioner | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2007-01-24 |
| 1457401127 | Pasco Radiology Consultants | Clinic/Center | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2007-01-12 |
| 1952317596 | Douglas Terry | Emergency Medicine | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2006-08-01 |
| 1649285230 | Vladimir Yefremov | Physician Assistant | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2006-07-30 |
| 1174566392 | Martin L. Little | Physician Assistant | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160109 | Linda Mims | Psychologist | 1909 Se 14th Ave, Gainesville, FL 32641-0707 | 2020-09-27 |
| 1225647001 | Jaclyn Linsey Fishalow | Psychologist | 505 Lantern Cir, Temple Terrace, FL 33617-3735 | 2020-07-28 |
| 1992362404 | Ida Marie Palmer | Psychologist | 6722 Arlington Expy # 570, Jacksonville, FL 32211-7234 | 2019-05-21 |
| 1427545953 | Tiffani Betancourt | Psychologist | 8408 N Taliaferro Ave, Tampa, FL 33604-1643 | 2018-04-19 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1710291406 | Amelia Bindas | Psychologist | 12133 Oak St, Suite 6, Largo, FL 33774-3123 | 2010-08-05 |
| 1356505713 | Allan Arthur Schulte | Psychologist | 2965 Bee Ridge Rd, Lotus Stress Relief, Sarasota, FL 34239-7114 | 2008-07-15 |
| 1114543568 | United Impact, LLC | Psychologist | 404 El Destinado Dr, Tallahassee, FL 32312-1607 | 2020-06-22 |
| 1649833443 | Avp Assessment Services, LLC | Psychologist | 4851 Tamiami Trl N, Naples, FL 34103-3096 | 2019-04-17 |
| 1881103273 | Melissa Echevarria Baez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
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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.