DR. NEIL ALLEN THIERRY (NPI# 1548271596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548271596 |
| Entity Type | Individual |
| Full Name | DR. NEIL ALLEN THIERRY |
| Credential | M.D. |
| Practice Address |
12512 Bruce B Downs Blvd Tampa FL 33612-9209 |
| Mailing Address |
6913 Cohasset Cir Riverview FL 33578-8314 |
| Practice Telephone | 8139778700 |
| Practice Fax Number | 8139712029 |
| Mailing Telephone | 8137314066 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
91604 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277414300 | 05 | |
| FL | BLUE CROSS/BLUE SHIELD | 53191 | 01 |
| Street Address |
12512 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669498002 | Northside Behavioral Health Center, Inc. | Psychiatric Hospital | 12512 Bruce B Downs Blvd, Tampa, FL 33612 | 2006-07-15 |
| 1205327558 | Savannah Sterns | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-05-22 |
| 1902303357 | Amber E Holbin | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-04-11 |
| 1346743036 | Anthony Jose Silverio | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-09 |
| 1063914422 | Brittany Melendez | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2018-03-01 |
| 1134643463 | Kamille Naomi Harris | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33613 | 2017-07-28 |
| 1053832022 | Kelly Elizabeth Solberg | Social Worker | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-06-29 |
| 1144755968 | Rossen Munroe | Counselor | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-04-30 |
| 1396277026 | Anne Marie Bowlin | Licensed Practical Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-03-31 |
| 1902341720 | Joseph Marten | Registered Nurse | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2017-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1801058250 | Demian Obregon | Psychiatry & Neurology | 3515 E. Fletcher Ave., Mdc14, Tampa, FL 33613-0000 | 2008-06-26 |
| 1700052099 | Alexander R. H. Rodriguez | Psychiatry & Neurology | 3507 Bayshore Blvd, # 403, Tampa, FL 33629-8969 | 2008-05-06 |
| 1235350711 | Joseph Ferlita Lupo | Psychiatry & Neurology | 720 W. Dr. Martin Luther King Jr. Blvd., Suite C, Tampa, FL 33603 | 2007-05-01 |
| 1992809354 | Ione Vildria Lara | Psychiatry & Neurology | 2212 E Henry Avenue, Tampa, FL 33610 | 2006-09-07 |
| 1861950420 | Center for Child and Adult Psychiatry LLC | Psychiatry & Neurology | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629-8100 | 2019-03-03 |
| 1295175917 | Harris Feinstein | Psychiatry & Neurology | 3314 Henderson Blvd, 107, Tampa, FL 33609-2998 | 2013-06-26 |
| 1750624805 | Kristie Michelle Jetter | Psychiatry & Neurology | 5707 N 22nd St, Tampa, FL 33610-4350 | 2013-03-27 |
| 1184984106 | Nasreen Zafer Akbar | Psychiatry & Neurology | 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612 | 2012-05-23 |
| 1962778308 | Leigh Joanne Ward Ruth | Psychiatry & Neurology | 3515 E Fletcher Ave # Mdc14, Tampa, FL 33613-4706 | 2012-03-29 |
| 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.