DR. KATHERINE MCCULLOCH


Address: 415 14th Ave Ne, St Petersburg, FL 33701-1312
Phone: 7272016285

DR. KATHERINE MCCULLOCH (NPI# 1467837757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467837757
Entity Type Individual
Full Name DR. KATHERINE MCCULLOCH
Credential PH.D.
Practice Address 415 14th Ave Ne
St Petersburg
FL 33701-1312
Practice Telephone 7272016285
Enumeration Date 2015-07-28
Last Update Date 2015-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 415 14TH AVE NE
City ST PETERSBURG
State FL
Zip Code 33701-1312

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1598267445 Vincent Malik Dehili Psychologist 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 2018-03-07
1770083073 Megan Sanborn Nurse Practitioner 601 5th St S Ste 304, St Petersburg, FL 33701 2018-02-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
1245374792 Richard Taylor Potsubay Psychologist 175 62nd Ave N, St Petersburg, FL 33702-7533 2007-02-17
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Competitor

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City ST PETERSBURG
Zip Code 33701

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Dataset Information

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.

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