INTERFACE CONSULTING AND PSYCHOLOGICAL SERVICES, LLC (NPI# 1225536287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225536287 |
| Entity Type | Organization |
| Organization Name | INTERFACE CONSULTING AND PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
5606 N Nebraska Ave Tampa FL 33604-7124 |
| Practice Telephone | 8134212375 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | IRMA CAMPOS (PRESIDENT) |
| Authorized Official Telephone | 8134212375 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20747 Sterlington Dr, Land O Lakes, FL 346384317 | 8134212375 | |
| 313 E Oak Ave Ste 201, Tampa, FL 336022368 | 8134212375 |
| Street Address |
5606 N NEBRASKA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659273 | Irma Campos | Psychologist | 5606 N Nebraska Ave, Tampa, FL 33604-7124 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1205488012 | Kimberly Hubinger | Psychologist | 3825 Henderson Blvd Ste 505c, Tampa, FL 33629-5037 | 2019-07-11 |
| 1528537362 | Bethan Anne Roberts | Psychologist | 13000 Bruce B Downs Blvd Rm 163, Tampa, FL 33612-4745 | 2018-11-23 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1962979583 | Rosana Marzullo-dove | Psychologist | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2018-11-01 |
| 1740764158 | Fabian Alexandro Consbruck | Psychologist | 5425 Beaumont Center Blvd Ste 918, Tampa, FL 33634-5214 | 2018-09-20 |
| 1154810802 | Lashley Marks | Psychologist | 4202 E Fowler Ave Stop Svc2124, Tampa, FL 33620-6970 | 2018-05-08 |
| 1922595305 | Carmen Ana Gonzalez-magaz | Psychologist | 836 S Davis Blvd, Tampa, FL 33606-4025 | 2018-04-20 |
| 1811494982 | Adam Zimmer | Psychologist | 4202 E Fowler Ave Shs 100, Tampa, FL 33620-6750 | 2018-04-06 |
| 1326553389 | My Psychology Place Inc. | Psychologist | 6601 Memorial Hwy Ste 310, Tampa, FL 33615-4501 | 2017-12-12 |
| Find all providers in TAMPA | ||||
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| 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.