SHORELINE PSYCHOLOGICAL SERVICES, LLC
NPI 1093257982
Psychologist in St Petersburg, FL

Active since November 09, 2016
146 2ND ST N, SUITE 310, ST PETERSBURG, FL 33701(727) 251-6874 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, Nov 9, 2016 (2 updates tracked since 2016).

About Shoreline Psychological Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE PSYCHOLOGICAL SERVICES, LLC (NPI 1093257982) is a healthcare organization registered as a psychologist in St Petersburg, Florida and active in the NPI registry since November 2016. The organization lists Theodora Coffman, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1093257982
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSHORELINE PSYCHOLOGICAL SERVICES, LLC
Location Address146 2ND ST N, SUITE 310St Petersburg, FL 33701-3328
Mailing Address146 2nd St N, Suite 310St Petersburg, FL 33701-3328 · (727) 251-6874
Organization SubpartNo
Authorized OfficialTheodora CoffmanPsychologist · (727) 308-1180
Enumeration DateNovember 9, 2016
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1093257982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY9365
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.
146 2ND ST N, St Petersburg, FL 33701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
146 2ND ST N
ST PETERSBURG, FL 33701
Social Worker (Clinical)
146 2ND ST N, SUITE 310
ST PETERSBURG, FL 33701
Social Worker (Clinical)
146 2ND ST N
ST PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N
ST PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N
SAINT PETERSBURG, FL 33701
Psychologist
146 2ND ST N, SUITE 310
ST PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N, SUITE 200
ST PETERSBURG, FL 33701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoreline Psychological Services, LLC's NPI number?

The NPI number for Shoreline Psychological Services, LLC is 1093257982. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Shoreline Psychological Services, LLC located?

Shoreline Psychological Services, LLC is located at 146 2nd St N Suite 310, St Petersburg, FL 33701. The listed phone number is (727) 251-6874.

What is Shoreline Psychological Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Shoreline Psychological Services, LLC was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.