DR. RICHARD TAYLOR POTSUBAY (NPI# 1245374792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245374792 |
| Entity Type | Individual |
| Full Name | DR. RICHARD TAYLOR POTSUBAY |
| Credential | PH.D. |
| Practice Address |
175 62nd Ave N St Petersburg FL 33702-7533 |
| Practice Telephone | 7275276467 |
| Practice Fax Number | 7275224096 |
| Mailing Telephone | 7275276467 |
| Mailing Fax Number | 7275224096 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY3754 | FL | Behavioral Health & Social Service Providers |
| Street Address |
175 62ND AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702-7533 |
| 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 | 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 |
| 1821494022 | David Brockway | Psychologist | 3730 18th Ave N, St Petersburg, FL 33713-4816 | 2014-11-15 |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
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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.