Fundamental Psychology

LBN: Fundamental Psychology
Fundamental Psychology is an health care organization with primary practice located at 1505 Tamiami Trl S Ste 402 , Venice FL 34285-5563. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Fundamental Psychology can be contacted via phone (941) 275-9183, or through Steranko, Angela via phone (941) 275-9183.

Contact Information

Primary practice address
1505 Tamiami Trl S Ste 402 Venice FL 34285-5563
Phone: (941) 275-9183
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Steranko, Angela PSY.D.
Phone: (941) 275-9183

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1699238055
LBN Legal business name Fundamental Psychology
DBA Doing business as
Authorized official Steranko, Angela PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2019
Last updated Jun 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699238055 NPPES
Florida MEDICAID 1497986467
Florida MEDICAID 1023436987

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