Provider Demographics
NPI:1225133184
Name:EMERGENT CARE PSYCHOLOGISTS, P.A.
Entity Type:Organization
Organization Name:EMERGENT CARE PSYCHOLOGISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-541-5436
Mailing Address - Street 1:5046 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-4350
Mailing Address - Country:US
Mailing Address - Phone:727-541-5436
Mailing Address - Fax:727-541-5484
Practice Address - Street 1:5046 73RD AVE
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-4350
Practice Address - Country:US
Practice Address - Phone:727-541-5436
Practice Address - Fax:727-541-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003613103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73680ZMedicare ID - Type Unspecified