MEDICARE: ASSESSMENT ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649318361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSESSMENT ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	10925 N 29TH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3844
Country	:	US
Telephone Number	:	813-784-7641
Fax Number	:	813-910-7515

Provider Business Practice Location Address
First Line	:	10925 N 29TH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-3844
Country	:	US
Telephone Number	:	813-784-7641
Fax Number	:	813-910-7515

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	KIMBERLY MCDONALD
Credential	:	M.A.
Telephone Number	:	813-784-7641

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

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