BRYAN BOOTH (NPI# 1831583178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831583178 |
| Entity Type | Individual |
| Full Name | BRYAN BOOTH |
| Credential | PHD |
| Practice Address |
2712 E 122nd Ave Tampa FL 33612-4715 |
| Practice Telephone | 7278310337 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LCCT0302010409 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619487501 | Bryan M Booth | Specialist/Technologist | 74910 Aztec Rd, Palm Desert, CA 92260-3101 | 2017-10-04 |
| 1659321685 | Bryan Booth | Technician, Other | 456 Marsh Duck Way, Virginia Beach, VA 23451-6557 | 2006-05-11 |
| 1548235179 | Bryan Dennis Booth | Physician Assistant | 3400 Spruce St, 6 Silver, Philadelphia, PA 19104-4238 | 2006-02-17 |
| Street Address |
2712 E 122ND AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4715 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574740 | Jennifer Mcfarlin | Marriage & Family Therapist | 2002 N Lois Ave Ste 255, Tampa, FL 33607-2366 | 2020-07-02 |
| 1659926392 | Deatra Martin | Marriage & Family Therapist | 9433 Pebble Glen Ave, Tampa, FL 33647-2435 | 2019-08-08 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1679092811 | Alexandra Galetti | Marriage & Family Therapist | 3434 W Columbus Dr Ste 107, Tampa, FL 33607-1859 | 2017-09-19 |
| 1558883017 | Moskula Monica Kypreos | Marriage & Family Therapist | 2521 Cedar Cypress Ct Unit 201, Tampa, FL 33618-3481 | 2017-07-16 |
| 1467987867 | Pattie Moore | Marriage & Family Therapist | 14301 Wedgewood Cir, Apt 102, Tampa, FL 33613-3008 | 2017-04-24 |
| 1730536806 | Matilde Alejandra Torallas Huerta | Marriage & Family Therapist | 3903 North Dale Blvd. Suite 100e, Tampa, FL 33624 | 2016-05-18 |
| 1710362397 | Angie Speller, Lmhc, Pa | Marriage & Family Therapist | 4613 W North A St, Tampa, FL 33609-1909 | 2015-07-24 |
| 1669860839 | Elizabeth Pavone | Marriage & Family Therapist | 2320 West Azeele Street, #337, Tampa, FL 33609-3368 | 2014-12-22 |
| 1285977520 | Mantra Counseling, LLC | Marriage & Family Therapist | 4230 South Macdill Ave, Suite 209, Tampa, FL 33611-2912 | 2013-04-05 |
| 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.