DR. MELISSA DEGESO


Address: 4100 W Kennedy Blvd Ste 214, Tampa, FL 33609-2244
Phone: 8133752955

DR. MELISSA DEGESO (NPI# 1154723351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154723351
Entity Type Individual
Full Name DR. MELISSA DEGESO
Other Name DR. MELISSA DEGESO-JONES
Credential PSY.D.
Practice Address 4100 W Kennedy Blvd Ste 214
Tampa
FL 33609-2244
Practice Telephone 8133752955
Mailing Telephone 8133752955
Enumeration Date 2014-09-18
Last Update Date 2018-05-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY9134 FL Behavioral Health & Social Service Providers

Office Location

Street Address 4100 W KENNEDY BLVD STE 214
City TAMPA
State FL
Zip Code 33609-2244

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NPI Name Taxonomy Address Enumeration
1043786361 Irene Thompson Counselor 4100 W Kennedy Blvd Ste 214, Tampa, FL 33609-2244 2018-10-15

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1043735657 Mary Elizabeth Osbach Registered Nurse 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 2017-08-04
1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
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1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
1275992448 Jennifer Stich Behavioral Analyst 3210 W De Leon St # B, Tampa, FL 33609 2016-02-16
1154711505 Health E Systems, LLC Transportation Broker 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 2015-01-23
1619375292 Healthexchange Systems, LLC Home Health 5100 West Lemon Street, Suite 311, Tampa, FL 33609 2014-12-12
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1962979583 Rosana Marzullo-dove Psychologist 912 W Platt St Ste 101, Tampa, FL 33606-2108 2018-11-01
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1154810802 Lashley Marks Psychologist 4202 E Fowler Ave Stop Svc2124, Tampa, FL 33620-6970 2018-05-08
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1811494982 Adam Zimmer Psychologist 4202 E Fowler Ave Shs 100, Tampa, FL 33620-6750 2018-04-06
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Competitor

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City TAMPA
Zip Code 33609

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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