BRANDON PSYCHIATRIC GROUP LLC (NPI# 1952710147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952710147 |
| Entity Type | Organization |
| Organization Name | BRANDON PSYCHIATRIC GROUP LLC |
| Practice Address |
106 W Windhorst Rd Brandon FL 33510-2455 |
| Mailing Address |
Po Box 1584 Cumming GA 30028-1584 |
| Practice Telephone | 6789236025 |
| Mailing Telephone | 6789236025 |
| Mailing Fax Number | 8134136660 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | DR. HANY BOTROS MIKHAIL (PRESIDENT) |
| Authorized Official Telephone | 6789236025 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
95351 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275940302 | 05 |
| Street Address |
106 W WINDHORST RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013014737 | Hany Botros Mikhail | Psychiatry & Neurology | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2006-09-17 |
| 1619588977 | Sunset Counseling Group | Counselor | 106 W Windhorst Rd, Brandon, FL 33510 | 2020-08-11 |
| 1851947600 | Dipa Digantbhai Solanki | Family Medicine | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2019-08-16 |
| 1679002042 | Crystal Latrice Rocker | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510 | 2017-06-08 |
| 1790223550 | Monique Marie Waters | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2017-02-01 |
| 1730539941 | Florida Psychotherapy Services LLC | Social Worker | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2016-06-18 |
| 1962861567 | Junon Dunbar | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2016-02-11 |
| 1316312051 | Frederic Faugue | Nurse Practitioner | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2015-12-07 |
| 1184804924 | Jeanne Althea Long | Social Worker | 106 W Windhorst Rd, Brandon, FL 33510-2455 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859741 | Anderson Medical Services | Psychiatry & Neurology | 818 Ne 28th St, Fort Lauderdale, FL 33334-2618 | 2020-07-31 |
| 1780168385 | Advantage Tms, LLC | Psychiatry & Neurology | 28465 Us Highway 19 N Ste 201, Clearwater, FL 33761-2511 | 2018-09-19 |
| 1932619665 | Memory and Attention Research Institute of America Inc | Psychiatry & Neurology | 560 Ridgewood Rd, Key Biscayne, FL 33149-1850 | 2017-10-09 |
| 1922531623 | Yamile Rodriguez I | Psychiatry & Neurology | 15605sw 85 Th Ln, Miami, FL 33193 | 2017-04-10 |
| 1013374511 | Cognitive Neurology Consultants Inc | Psychiatry & Neurology | 350 Lincoln Rd, Second Floor, Miami Beach, FL 33139-3154 | 2016-01-28 |
| 1023448388 | Sunshiny Mental Health Pllc | Psychiatry & Neurology | 19330 Sw 69th St, Fort Lauderdale, FL 33332-1652 | 2013-11-22 |
| 1780938613 | Julie B Kessel | Psychiatry & Neurology | 1121 43rd Ave N, St Petersburg, FL 33703-4539 | 2012-10-30 |
| 1760408074 | James Edward Galvin | Psychiatry & Neurology | 777 Glades Rd, Me104, 1st Floor, Boca Raton, FL 33431-6424 | 2006-07-14 |
| 1528674447 | Midtown Community Health Care | Psychiatry & Neurology | 3031 W Cypress St Ste A, Tampa, FL 33609-1647 | 2020-09-16 |
| 1013476431 | Remedy Therapy, LLC | Psychiatry & Neurology | 3309 Northlake Blvd Ste 101, Palm Beach Gardens, FL 33403-1705 | 2019-03-15 |
| Find all providers with the same taxonomy | ||||
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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.