YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC. (NPI# 1942614854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942614854 |
| Entity Type | Organization |
| Organization Name | YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC. |
| Practice Address |
1452 Oakfield Dr Brandon FL 33511-4853 |
| Practice Telephone | 8136892525 |
| Practice Fax Number | 8136894433 |
| Mailing Telephone | 8136892525 |
| Mailing Fax Number | 8136894433 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | DR. GARIN VICK (DOCTOR) |
| Authorized Official Telephone | 8136892525 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY6982 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1452 OAKFIELD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891870747 | Linda Pamela Rich-consiglio | Chiropractor | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2006-10-26 |
| 1225562465 | Avia Premier Care LLC | Behavior Technician | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2017-04-14 |
| 1992238448 | Arthur Channer | Community/Behavioral Health | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2017-04-11 |
| 1396906475 | Light and Life Chiropractic Center, LLC | Chiropractor | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2008-06-20 |
| 1508084435 | Bruce Lloyd Thomas | Chiropractor | 1452 Oakfield Dr, Brandon, FL 33511-4853 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326493107 | Brighter Day Health LLC | Psychologist | 202 Rosana Dr, Brandon, FL 33511-6314 | 2016-04-28 |
| 1659784775 | Isra Saleh-mohd, Psy.d. | Psychologist | 411 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2014-06-05 |
| 1811245277 | Amanda L Gugliano | Psychologist | 1490 W Government St, Suite 7, Brandon, MS 39042-3024 | 2012-08-16 |
| 1043503634 | Tangela Clark Culpepper | Psychologist | 1219 Millennium Pkwy, Suite 122, Brandon, FL 33511-3894 | 2011-05-16 |
| 1245567429 | Michelle-anne Diehl | Psychologist | 209 Lithia Pinecrest Rd, Brandon, FL 33511-5307 | 2009-11-10 |
| 1659518132 | Nekeshia Hammond | Psychologist | 710 Oakfield Dr Ste 153, Brandon, FL 33511-4954 | 2009-01-20 |
| 1003934910 | Steven Fei Wu | Psychologist | 310 Hughes St, Brandon, FL 33510-4412 | 2007-03-27 |
| 1447262217 | Shirley Ann Chennault | Psychologist | 720 Erik Lake Rd, Brandon, FL 33510-2741 | 2006-08-12 |
| 1285640466 | Thomas Michael Ingram | Psychologist | 1210 Millennium Pkwy, Suite 1017, Brandon, FL 33511-4896 | 2006-07-31 |
| 1275587693 | Valarie Ann Kager | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2006-05-20 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC..
| 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.