CRUDUP PSYCHOLOGICAL SERVICES LLC (NPI# 1013405281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013405281 |
| Entity Type | Organization |
| Organization Name | CRUDUP PSYCHOLOGICAL SERVICES LLC |
| Other Organization Name | CRUDUP PSYCHOLOGICAL SERVICES |
| Practice Address |
10001 Cross Creek Blvd Tampa FL 33647-2581 |
| Mailing Address |
Po Box 47122 Tampa FL 33646-0110 |
| Practice Telephone | 3862439220 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. BIANCA M. CRUDUP (OWNER) |
| Authorized Official Telephone | 3862439220 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PY10135 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crudup Psychological Services | Doing Business As Name - Organization |
| Street Address |
10001 CROSS CREEK BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2581 |
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| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.