DAVID BROCKWAY (NPI# 1821494022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821494022 |
| Entity Type | Individual |
| Full Name | DAVID BROCKWAY |
| Credential | PSY.D |
| Practice Address |
3730 18th Ave N St Petersburg FL 33713-4816 |
| Practice Telephone | 7276662429 |
| Mailing Telephone | 7276662429 |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0471010316 | FL | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 102L00000X | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963692 | David Brockway | Technician | 17455 Sw 108th Pl, Tualatin, OR 97062-8427 | 2019-10-16 |
| 1780664052 | David P Brockway | Family Medicine | 6440 Nicollet Ave So, Richfield, MN 55423-1697 | 2006-01-20 |
| Street Address |
3730 18TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| 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 |
|---|---|---|---|---|
| 1114406345 | Samantha Turetsky | Psychologist | 33 6th St S Ste 205, St Petersburg, FL 33701-4117 | 2018-08-08 |
| 1922475599 | Theodora P Coffman | Psychologist | 146 2nd St N, Suite 310, St Petersburg, FL 33701-3328 | 2015-08-30 |
| 1467837757 | Katherine Mcculloch | Psychologist | 415 14th Ave Ne, St Petersburg, FL 33701-1312 | 2015-07-28 |
| 1235404724 | Roberto Alves | Psychologist | 1913 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2012-03-15 |
| 1487989034 | Total Person Psychological Associates Pa | Psychologist | 6739 1st Avenue South, St Petersburg, FL 33707-0000 | 2009-10-14 |
| 1134375868 | Linda Appenfeldt, Ph.d., P.a. | Psychologist | 5400 Central Ave, St Petersburg, FL 33707-6131 | 2008-08-13 |
| 1134386444 | Lori I. Kleinman | Psychologist | 824 Bay St Ne, Apt. B, St Petersburg, FL 33701-2544 | 2008-05-22 |
| 1477710416 | Audra Mary Walsh | Psychologist | 777 4th St S, St Petersburg, FL 33701-4803 | 2008-05-19 |
| 1922292887 | Jason David Hangauer | Psychologist | 880 6th St S Ste 410, St Petersburg, FL 33701-4825 | 2007-09-04 |
| 1245374792 | Richard Taylor Potsubay | Psychologist | 175 62nd Ave N, St Petersburg, FL 33702-7533 | 2007-02-17 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.