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GULFSIDE PSYCHOLOGY INC
NPI 1861026569
Clinical Neuropsychologist in Bradenton, FL

Active since March 03, 2020
3902 E STATE ROAD 64, BRADENTON, FL 34208(941) 243-3005(941) 739-9358 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2020, Mar 3, 2020 (2 updates tracked since 2020).

About Gulfside Psychology Inc NPPES

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

GULFSIDE PSYCHOLOGY INC (NPI 1861026569) is a healthcare organization registered as a clinical neuropsychologist in Bradenton, Florida and active in the NPI registry since March 2020. The organization lists John K Mcdermott, President, as its authorized official.

NPPES Registry Identity

NPI1861026569
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameGULFSIDE PSYCHOLOGY INC
Location Address3902 E STATE ROAD 64Bradenton, FL 34208-9059
Mailing Address5614 Cloverleaf RunBradenton, FL 34211-4048 · (860) 250-4488 · Fax (941) 739-9358
Phone(941) 243-3005
Fax(941) 739-9358
Organization SubpartNo
Authorized OfficialJohn K McdermottPresident · (941) 243-3005
Enumeration DateMarch 3, 2020
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1861026569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3902 E STATE ROAD 64, Bradenton, FL 34208
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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 4

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

JARIN MICHAEL MAROCCO PMHNP-MSN
Nurse Practitioner (Psychiatric/Mental Health)
3902 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 756-1200
MRS. CATHERINE I MCDERMOTT APRN
Nurse Practitioner (Psychiatric/Mental Health)
3902 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 756-1200
GULFSIDE BEHAVIORAL CARE NP INC
Nurse Practitioner (Psychiatric/Mental Health)
3902 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 756-1200
DR. STEPHANIE FEIL JOHNSON PHD
Clinical Neuropsychologist
3902 E STATE ROAD 64
BRADENTON, FL 34208
Manatee County (941) 243-3006

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 Gulfside Psychology Inc's NPI number?

The NPI number for Gulfside Psychology Inc is 1861026569. It was assigned to this organization in the NPPES registry on March 3, 2020.

Where is Gulfside Psychology Inc located?

Gulfside Psychology Inc is located at 3902 E State Road 64, Bradenton, FL 34208. The listed phone number is (941) 243-3005.

What is Gulfside Psychology Inc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Gulfside Psychology Inc was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.