DR. THOMAS MICHAEL INGRAM


Address: 1210 Millennium Pkwy, Suite 1017, Brandon, FL 33511-4896
Phone: 8136842037

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY 0003437 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS / BLUE SHIELD 75696 01
FL MANAGED HEALTH NETWORK 084105 01

Other Providers THOMAS INGRAM

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

Office Location

Street Address 1210 MILLENNIUM PKWY
SUITE 1017
City BRANDON
State FL
Zip Code 33511-4896

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BRANDON
Zip Code 33511

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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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