BAYSIDE PSYCHOLOGY SERVICES, LLC (NPI# 1922388909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922388909 |
| Entity Type | Organization |
| Organization Name | BAYSIDE PSYCHOLOGY SERVICES, LLC |
| Practice Address |
4400 E Highway 20 Ste 305 Niceville FL 32578-8779 |
| Practice Telephone | 8502796750 |
| Practice Fax Number | 8502796752 |
| Mailing Telephone | 8502796750 |
| Mailing Fax Number | 8502796752 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | DR. GRETCHEN CHAPMAN TYLER (LICENSED PSYCHOLOGIST / PRESIDENT) |
| Authorized Official Telephone | 8502796750 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5264 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4400 E HIGHWAY 20 STE 305 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-8779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072341 | April W Lee | Chiropractor | 4400 E Highway 20, Ste 207, Niceville, FL 32578-8779 | 2005-09-09 |
| 1598323222 | Aleecia Lynn Furlong | Social Worker | 4400 E Highway 20, Niceville, FL 32578-8779 | 2019-05-29 |
| 1922562628 | Bluewater Behavioral Health Inc | Nurse Practitioner | 4400 E Highway 20, Niceville, FL 32578-8779 | 2019-01-27 |
| 1982069480 | Carpenter House Inc. | Counselor | 4400 E Highway 20, Suite 306, Niceville, FL 32578-8779 | 2015-12-28 |
| 1356717862 | Kimberly Dawn Smith | Nurse Practitioner | 4400 E Highway 20, Suite 203, Niceville, FL 32578-8779 | 2015-08-19 |
| 1205258910 | Florida Urgent & Family Care P A | Clinic/Center | 4400 E Highway 20, Ste 209, Niceville, FL 32578-8779 | 2014-01-15 |
| 1033454384 | Bay Area Better Hearing | Hearing Instrument Specialist | 4400 E Highway 20, Ste 211, Niceville, FL 32578-8779 | 2012-11-27 |
| 1609146539 | Bryan N House Dds Pa | Clinic/Center | 4400 E Highway 20, Ste 111, Niceville, FL 32578-8779 | 2012-01-10 |
| 1144537572 | Mid-bay Women's Clinic, P.a. | Clinic/Center | 4400 E Highway 20, Suite 209, Niceville, FL 32578-8779 | 2010-09-07 |
| 1023325651 | Emily Michelle Winston | Doula | 4400 E Highway 20, Suite 206, Niceville, FL 32578-8779 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144238270 | Peter T Oas | Psychologist | 707 Bayshore Dr, Niceville, FL 32578-2546 | 2006-08-04 |
| 1588965636 | Peter T Oas Phd Pa | Psychologist | 707 Bayshore Dr, Niceville, FL 32578-2589 | 2010-11-05 |
| 1760407878 | Michael Tallman | Psychologist | 1417 Partin Dr N, Ste. One, Niceville, FL 32578-1430 | 2006-07-12 |
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| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
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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.