UNIVERSITY OF SOUTH FLORIDA (NPI# 1417171208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417171208 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTH FLORIDA |
| Practice Address |
3500 E Fletcher Ave Suite 225 Tampa FL 33613-4708 |
| Practice Telephone | 8139756963 |
| Practice Fax Number | 8139756596 |
| Mailing Telephone | 8139756963 |
| Mailing Fax Number | 8139756596 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANE ABBY KOCH (PSYCHOLOGIST) |
| Authorized Official Telephone | 8139756963 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PY4230 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1487660742 | University of South Florida | Clinic/Center | 3612 N Arlington Ave, Tampa, FL 33603-5606 | 2006-07-31 |
| 1598118606 | University of South Florida | Health Maintenance Organization | 4202 E Fowler Ave, Ath100, Tampa, FL 33620-8000 | 2016-07-14 |
| 1235544594 | University of South Florida | Pharmacy | 13330 Usf Laurel Dr., Mdc 52, Tampa, FL 33612 | 2014-06-25 |
| 1659681021 | University of South Florida | Audiologist | 4202 E Fowler Ave Stop PCd1017, Pcd 1017, Tampa, FL 33620-7250 | 2010-10-19 |
| 1093929770 | University of South Florida | Developmental Therapist | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2007-05-10 |
| 1578601654 | University of South Florida | Clinic/Center | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA | 830 1st St Msl 128, Saint Petersburg, FL 33701 |
| Vermont Business Registrations | UNIVERSITY OF SOUTH FLORIDA HEALTH SCIENCES CENTER INS CO IN | 76 St Paul St, Ste 500, Burlington, VT 05401 |
| System for Award Management (SAM) Entities | UNIVERSITY OF SOUTH FLORIDA INSTITUTE OF APPLIED ENGINEERING, INCORPORATED | 4202 E Fowler Ave Stop Enb118, Tampa, FL 33620-5350 |
| Street Address |
3500 E FLETCHER AVE SUITE 225 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424129 | David L Joseph | Internal Medicine | 3500 E Fletcher Ave, Suite 218, Tampa, FL 33613-4708 | 2005-11-17 |
| 1649719238 | Tampa Bay Health Alliance, LLC | Preferred Provider Organization | 3500 E Fletcher Ave, Suite 400, Tampa, FL 33613-4708 | 2017-02-16 |
| 1144626128 | Veena Rattan M.d.p.a. | Clinic/Center | 3500 E Fletcher Ave, Tampa, FL 33613-4708 | 2014-11-18 |
| 1164760401 | Jamal Amin Brown | Pharmacist | 3500 E Fletcher Ave, Suite 133, Tampa, FL 33613-4708 | 2013-01-22 |
| 1023396694 | Tina Cheung Macias | Physical Therapist | 3500 E Fletcher Ave, Tampa, FL 33613-4708 | 2011-07-29 |
| 1174810725 | Summer Marie Young | Dentist | 3500 E Fletcher Ave, Suite 221, Tampa, FL 33613-4708 | 2011-07-05 |
| 1235428236 | Joel Brooks Counseling, Inc | Social Worker | 3500 E Fletcher Ave, Suite 129, Tampa, FL 33613-4708 | 2011-03-31 |
| 1720216773 | Kubly Ocular Prosthetics Inc | Prosthetic/Orthotic Supplier | 3500 E Fletcher Ave, Suite 509, Tampa, FL 33613-4793 | 2009-06-29 |
| 1881866127 | Tina E Williams | Social Worker | 3500 E Fletcher Ave, Suite 129, Tampa, FL 33613-4708 | 2008-03-27 |
| 1104013507 | Tampa Renal Physicians Pl | Internal Medicine | 3500 E Fletcher Ave, Suite 218, Tampa, FL 33613-4708 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661446 | Trinity Mental Health Inc | Community/Behavioral Health | 4236 W Linebaugh Ave, Tampa, FL 33624-5241 | 2020-08-28 |
| 1932718467 | Diane G .hill, Phd | Community/Behavioral Health | 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 | 2020-07-30 |
| 1285258293 | Essential Mental Health Inc | Community/Behavioral Health | 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 | 2020-06-05 |
| 1871114801 | Resurgence Tampa Bay LLC | Community/Behavioral Health | 3808 Gunn Hwy, Tampa, FL 33618-8757 | 2020-04-30 |
| 1841819489 | Tri-lyfe Support Services Inc | Community/Behavioral Health | 3919 E Fern St Apt 4, Tampa, FL 33610-1609 | 2020-04-14 |
| 1508497694 | Lotus Community Corp | Community/Behavioral Health | 5927 Webb Rd, Tampa, FL 33615-3219 | 2020-01-28 |
| 1457992463 | Elevate To Achieve LLC | Community/Behavioral Health | 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 | 2019-10-01 |
| 1285281899 | Bridges Behavioral Wellness LLC | Community/Behavioral Health | 2746 N Florida Ave, Tampa, FL 33602-1522 | 2019-08-20 |
| 1487218426 | Alintana LLC | Community/Behavioral Health | 4410 Melton Ave, Tampa, FL 33614-7218 | 2019-04-25 |
| 1679032379 | 5 Star Cares, Inc | Community/Behavioral Health | 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 | 2019-03-13 |
| 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.