CHILD AND ADOLESCENT TAMPA BAY PSYCHIATRY, LLC (NPI# 1952829137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952829137 |
| Entity Type | Organization |
| Organization Name | CHILD AND ADOLESCENT TAMPA BAY PSYCHIATRY, LLC |
| Practice Address |
100 S Ashley Dr Ste 600 Tampa FL 33602-5300 |
| Mailing Address |
12231 Main St Unit 1196 San Antonio FL 33576-7253 |
| Practice Telephone | 8137664218 |
| Mailing Telephone | 8134402741 |
| Mailing Fax Number | 8133384490 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | DR. ONELIA RAMIREZ-COOK (MANAGER) |
| Authorized Official Telephone | 8137664218 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME112720 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12662244 | 01 | |
| FL | LICENSE NUMBER | ME112720 | 01 |
| INDIVIDUAL TAXONOMY | 2084P0800X | 01 | |
| INDIVIDUAL NPI | 1669639001 | 01 | |
| FL | 00544800 | 05 |
| Street Address |
100 S ASHLEY DR STE 600 |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297541 | Quality Bhs Florida, LLC | Social Worker | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2020-05-26 |
| 1851940878 | Seniorwell Pod of Florida, LLC | Podiatrist | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2019-09-11 |
| 1205485224 | Seniorwell of Florida, LLC | Optometrist | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2019-09-11 |
| 1366091647 | Css Pain Relief | Durable Medical Equipment & Medical Supplies | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1831466846 | Kirtikumar J. Pandya, M.d., Pa | Psychiatry & Neurology | 5106 N Armenia Ave, Suite #3, Tampa, FL 33603-1433 | 2011-11-18 |
| 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.