Healthcare Provider Details

I. General information

NPI: 1528706991
Provider Name (Legal Business Name): JUST PSYCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 ALT 19 STE 201
PALM HARBOR FL
34683-2641
US

IV. Provider business mailing address

2706 ALT 19 STE 201
PALM HARBOR FL
34683-2641
US

V. Phone/Fax

Practice location:
  • Phone: 727-223-3424
  • Fax: 727-249-1648
Mailing address:
  • Phone: 727-223-3424
  • Fax: 727-295-1648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SANDRA L RISOLDI
Title or Position: MEMBER
Credential: PMHNP
Phone: 727-249-4898