DR. THOMAS MICHAEL INGRAM (NPI# 1285640466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285640466 |
Entity Type | Individual |
Full Name | DR. THOMAS MICHAEL INGRAM |
Other Name | DR. T. MICHAEL INGRAM |
Credential | PSY.D. |
Practice Address |
1210 Millennium Pkwy Suite 1017 Brandon FL 33511-4896 |
Practice Telephone | 8136842037 |
Practice Fax Number | 8136846887 |
Mailing Telephone | 8136842037 |
Mailing Fax Number | 8136846887 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 0003437 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS / BLUE SHIELD | 75696 | 01 |
FL | MANAGED HEALTH NETWORK | 084105 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437153194 | Thomas Glenn Ingram | Family Medicine | 1111 Crown Pointe Dr, Elizabethtown, KY 42701-7101 | 2005-06-10 |
1760875058 | Thomas Lane Ingram | Counselor | 1210 Parkway, Austin, TX 78703-4133 | 2015-03-10 |
1871621052 | Thomas E Ingram | Specialist | 1920 Chadwick Dr, Suite 109, Jackson, MS 39204-3471 | 2007-03-01 |
Street Address |
1210 MILLENNIUM PKWY SUITE 1017 |
City | BRANDON |
State | FL |
Zip Code | 33511-4896 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629461710 | Greater Tampa Bay Health Care | Home Health | 1210 Millennium Pkwy, Suite 1034, Brandon, FL 33511-4896 | 2015-03-12 |
1821489246 | Melissa Thompson | Counselor | 1210 Millennium Pkwy, Brandon, FL 33511-4896 | 2015-02-06 |
1114321049 | Holli Farrell | Counselor | 1210 Millennium Pkwy, Suite 1050, Brandon, FL 33511-4896 | 2014-10-21 |
1104177948 | Enloe Bruce Billingsley Lcsw Pa | Counselor | 1210 Millennium Pkwy, Suite 1030, Brandon, FL 33511-4896 | 2012-09-19 |
1982979662 | Theresa M Henderson, Pa | Social Worker | 1210 Millennium Pkwy, Suite 1035, Brandon, FL 33511-4861 | 2012-03-14 |
1881719250 | Brandon Assessment and Counseling Center Inc | Counselor | 1210 Millennium Pkwy, Suite 1030, Brandon, FL 33511-4896 | 2007-03-21 |
1669506671 | Clinical Psychology Associates of Tampa Bay, Inc | Psychologist | 1210 Millennium Pkwy, Suite 1033, Brandon, FL 33511-4896 | 2007-03-15 |
1043360472 | Cloie N. Williams | Counselor | 1210 Millennium Pkwy, Suite 1010, Brandon, FL 33511-4896 | 2007-01-10 |
1326149014 | Theresa M Henderson | Social Worker | 1210 Millennium Pkwy, Suite 1035, Brandon, FL 33511-4896 | 2006-09-26 |
1174634398 | Denise Palter | Social Worker | 1210 Millennium Pkwy, Brandon, FL 33511-4896 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326493107 | Brighter Day Health LLC | Psychologist | 202 Rosana Dr, Brandon, FL 33511-6314 | 2016-04-28 |
1659784775 | Isra Saleh-mohd, Psy.d. | Psychologist | 411 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2014-06-05 |
1811245277 | Amanda L Gugliano | Psychologist | 1490 W Government St, Suite 7, Brandon, MS 39042-3024 | 2012-08-16 |
1043503634 | Tangela Clark Culpepper | Psychologist | 1219 Millennium Pkwy, Suite 122, Brandon, FL 33511-3894 | 2011-05-16 |
1245567429 | Michelle-anne Diehl | Psychologist | 209 Lithia Pinecrest Rd, Brandon, FL 33511-5307 | 2009-11-10 |
1659518132 | Nekeshia Hammond | Psychologist | 710 Oakfield Dr Ste 153, Brandon, FL 33511-4954 | 2009-01-20 |
1003934910 | Steven Fei Wu | Psychologist | 310 Hughes St, Brandon, FL 33510-4412 | 2007-03-27 |
1447262217 | Shirley Ann Chennault | Psychologist | 720 Erik Lake Rd, Brandon, FL 33510-2741 | 2006-08-12 |
1275587693 | Valarie Ann Kager | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2006-05-20 |
1679524979 | Stephen H Sinclair | Psychologist | 1206 Millennium Pkwy, Brandon, FL 33511-3895 | 2006-05-12 |
Find all providers in BRANDON |
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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.