AMANDA IVKOVICH (NPI# 1407265150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407265150 |
| Entity Type | Individual |
| Full Name | AMANDA IVKOVICH |
| Credential | M.A. |
| Practice Address |
2909 W Bay To Bay Blvd Suite 200 Tampa FL 33629-8100 |
| Mailing Address |
5501 W Waters Ave Suite 406 Tampa FL 33634-1229 |
| Practice Telephone | 8133815200 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH14091 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2909 W BAY TO BAY BLVD SUITE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659562593 | Alison J Donnell | Clinical Neuropsychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2007-08-06 |
| 1538617089 | Tampa Neuropsychiatry, LLC | Psychiatry & Neurology | 2909 W Bay To Bay Blvd, Suite 110, Tampa, FL 33629-8100 | 2016-09-13 |
| 1003285503 | Ana Alonso | Psychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2015-09-15 |
| 1043610694 | Abigail Ritchie | Clinical Neuropsychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2014-09-02 |
| 1790023851 | Bay Area Neuropsychology, LLC | Psychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2013-01-24 |
| 1396020913 | Magda Marques Lopez | Psychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2011-10-14 |
| 1437440443 | Johnna Stilson | Counselor | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2011-04-25 |
| 1033446158 | Rayna Lewis | Counselor | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2009-11-10 |
| 1124262654 | Lamar J Ingulli | Clinical Neuropsychologist | 2909 W Bay To Bay Blvd, Suite 200, Tampa, FL 33629-8100 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546146 | Rebecca M Slack | Counselor | 4422 E Columbus Dr Fl 33605, Tampa, FL 33605-3233 | 2020-10-22 |
| 1003415852 | Betsy Rose Rodriguez | Counselor | 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602-4231 | 2020-10-22 |
| 1124626155 | Laverne Brown | Counselor | 10964 Brightside Dr, Tampa, FL 33624-7007 | 2020-10-12 |
| 1639786064 | Brittany Richardson Smiley | Counselor | 1610 E Osborne Ave, Tampa, FL 33610-6045 | 2020-09-29 |
| 1356957492 | Latoya K Claxton | Counselor | 17106 Carrington Park Dr Apt 601, Tampa, FL 33647-2627 | 2020-09-22 |
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1952915795 | Kathy Thompson | Counselor | 4115 W Spruce St Ste 205, Tampa, FL 33607-2485 | 2020-08-31 |
| 1467066233 | Samantha Tubbs-crews, Lmhc | Counselor | 1211 N West Shore Blvd Ste 100, Tampa, FL 33607-4601 | 2020-08-31 |
| 1699388744 | R.e.s.e.t. Counseling Services LLC | Counselor | 1806 E Hanna Ave, Tampa, FL 33610-3543 | 2020-08-28 |
| 1700401056 | Jamie Tyus | Counselor | 3825 Henderson Blvd Ste 404, Tampa, FL 33629-5012 | 2020-06-12 |
| 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.