SAMANTHA BRUSTAD (NPI# 1013554435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013554435 |
| Entity Type | Individual |
| Full Name | SAMANTHA BRUSTAD |
| Credential | PSY.D |
| Practice Address |
9887 4th St N Ste 319 Saint Petersburg FL 33702-8445 |
| Practice Telephone | 7273792807 |
| Mailing Telephone | 7273792807 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
FL | Behavioral Health & Social Service Providers | |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY10363 | FL | Behavioral Health & Social Service Providers |
| Street Address |
9887 4TH ST N STE 319 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33702-8445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982264 | Teletherapy Solutions LLC | Counselor | 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124416995 | Shivani Saible | Psychologist | 1210 66th St N, Saint Petersburg, FL 33710-6226 | 2015-01-02 |
| 1275789174 | Central Psychology | Psychologist | 475 Central Ave, Suite 300 D, Saint Petersburg, FL 33701-3859 | 2008-08-11 |
| 1689879934 | Kristen Michaela Sturdevant | Psychologist | 6339 22nd Ave N, Saint Petersburg, FL 33710-4105 | 2007-06-18 |
| 1316140080 | Jeremy Lyn Zehr | Psychologist | 695 Central Ave Ste 105, Saint Petersburg, FL 33701-3662 | 2007-06-08 |
| 1730134032 | Shelley D Tindell-nodine | Psychologist | 4743 23rd St N, Saint Petersburg, FL 33714-3229 | 2006-05-24 |
| 1578515912 | Daniel Francis Fitzsimmons | Psychologist | 4464 Central Ave, Saint Petersburg, FL 33711-1142 | 2006-05-16 |
| 1386184299 | Dr. Samantha Winton, LLC | Psychologist | 33 6th St S, Suite 200, Saint Petersburg, FL 33701-4153 | 2017-02-27 |
| 1376935882 | Pinellas Psychology Associates, P.a. | Psychologist | 926 16th St N, Saint Petersburg, FL 33705-1211 | 2015-02-21 |
| 1265877930 | Dawn Suksanong | Psychologist | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2013-05-07 |
| 1215195573 | Katherine Mckay, Ph.d., LLC | Psychologist | 840 Beach Dr Ne, Saint Petersburg, FL 33701-2012 | 2008-05-22 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33702 |
Please comment or provide details below to improve the information on SAMANTHA BRUSTAD.
| 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.