Provider Demographics
NPI:1275789174
Name:CENTRAL PSYCHOLOGY
Entity Type:Organization
Organization Name:CENTRAL PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZUBROD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-822-8900
Mailing Address - Street 1:3501 COQUINA KEY DR SE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4115
Mailing Address - Country:US
Mailing Address - Phone:727-822-5360
Mailing Address - Fax:727-821-2097
Practice Address - Street 1:475 CENTRAL AVE
Practice Address - Street 2:SUITE 300 D
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3859
Practice Address - Country:US
Practice Address - Phone:727-822-8900
Practice Address - Fax:727-822-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty