FLORIDA PSYCHOTHERAPY SERVICES LLC (NPI# 1730539941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730539941 |
| Entity Type | Organization |
| Organization Name | FLORIDA PSYCHOTHERAPY SERVICES LLC |
| Practice Address |
106 W Windhorst Rd Brandon FL 33510-2455 |
| Mailing Address |
3835 Misty Landing Dr Valrico FL 33594-4802 |
| Practice Telephone | 8133739531 |
| Mailing Telephone | 7274248423 |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |
| Authorized Official Name | JOMON JOHN THEKKETHOTTIYIL (MANAGER) |
| Authorized Official Telephone | 7274248423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10806 | FL | Behavioral Health & Social Service Providers |
| Street Address |
106 W WINDHORST RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014737 | Hany Botros Mikhail | Psychiatry & Neurology | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2006-09-17 |
| 1619588977 | Sunset Counseling Group | Counselor | 106 W Windhorst Rd, Brandon, FL 33510 | 2020-08-11 |
| 1851947600 | Dipa Digantbhai Solanki | Family Medicine | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2019-08-16 |
| 1679002042 | Crystal Latrice Rocker | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510 | 2017-06-08 |
| 1790223550 | Monique Marie Waters | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2017-02-01 |
| 1962861567 | Junon Dunbar | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2016-02-11 |
| 1316312051 | Frederic Faugue | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2015-12-07 |
| 1952710147 | Brandon Psychiatric Group LLC | Psychiatry & Neurology | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2014-08-13 |
| 1184804924 | Jeanne Althea Long | Social Worker | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323501 | Thread of Hope Counseling, LLC | Social Worker | 1219 Millennium Pkwy Ste 1007, Brandon, FL 33511-3879 | 2020-10-16 |
| 1407461296 | Grace Szeja | Social Worker | 1923 Old Sawmill Rd, Brandon, FL 33510-2225 | 2020-09-09 |
| 1033736715 | Sheena Baker Pllc | Social Worker | 1219 Millennium Pkwy Ste 109, Brandon, FL 33511-3891 | 2020-06-29 |
| 1720609647 | Inner Compass Counseling Services, LLC | Social Worker | 911 S Parsons Ave Ste B, Brandon, FL 33511-6042 | 2020-05-01 |
| 1497389282 | Evelyn Pearce-fearon | Social Worker | 1106 Nikki View Dr, Brandon, FL 33511-4868 | 2020-03-02 |
| 1487296851 | Romel Powell Santiago | Social Worker | 1210 Millennium Pkwy Ste 1030, Brandon, FL 33511-4858 | 2019-10-17 |
| 1144789637 | Toni Fletcher | Social Worker | 1661 W Government Cv, Brandon, MS 39042-2410 | 2019-03-14 |
| 1437616901 | Blue Skies Mediation and Counseling, LLC | Social Worker | 1219 Millennium Parkway, Suite 109, Brandon, FL 33511-3891 | 2019-02-21 |
| 1942771498 | Emily Buskirk Muecke | Social Worker | 1210 Millennium Pkwy Ste 1007, Brandon, FL 33511-4558 | 2018-12-10 |
| 1437624251 | Amy Baucum | Social Worker | 550 Lincolns Dr, Brandon, MS 39042-8485 | 2018-10-08 |
| Find all providers in BRANDON | ||||
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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.