MASAGANA


Address: 9315 N 16th St, Tampa, FL 33612-8655
Phone: 8135264155

MASAGANA (NPI# 1275166563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275166563
Entity Type Organization
Organization Name MASAGANA
Practice Address 9315 N 16th St
Tampa
FL 33612-8655
Mailing Address 10144 Arbor Run Dr Unit 28
Tampa
FL 33647-3568
Practice Telephone 8135264155
Practice Fax Number 8135014995
Mailing Telephone 8135264155
Enumeration Date 2020-02-15
Last Update Date 2020-02-15
Authorized Official Name MS. NEVEH C MAHILUM (MANAGER)
Authorized Official Telephone 8135264155
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Masagana Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations MASAGANA LLC 5818 75th Street Apt#3, Middle Village, Ny 11379

Office Location

Street Address 9315 N 16TH ST
City TAMPA
State FL
Zip Code 33612-8655

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790397479 Eloy Franco Md LLC Clinic/Center 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 2020-08-23
1952734972 Caroline Seignon Clinic/Center 20205 Autumn Fern Ave, Tampa, FL 33647 2013-08-13
1902425390 Kris Mulhollen LLC Clinic/Center 1200 W Platt St Ste 202, Tampa, FL 33606-2136 2020-04-15
1952960684 Rosana Marzullo-dove, Psyd, LLC Clinic/Center 912 W Platt St Ste 101, Tampa, FL 33606-2108 2019-06-06
1407412075 Healthy Mind, Corp Clinic/Center 1200 W Platt St Ste 202, Tampa, FL 33606-2136 2019-05-19
1417467283 James A. Haley Va Clinic/Center 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 2017-10-06
1750816054 Rpa Healthcare LLC Clinic/Center 3010 E 138th Ave, Suite 7, Tampa, FL 33613-3904 2017-04-24
1104362979 Lisa M. Petrica-moser, Ph.d. Inc. Clinic/Center 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6383 2017-01-17
1912370594 Tampa Life Change Clinic/Center 720 W Dr Martin Luther King Jr Blvd, Suite B, Tampa, FL 33603-3134 2015-11-04
1982089561 Dr. Maryam Behdarvandi Clinic/Center 2908 W Waters Ave Ste 101, Tampa, FL 33614-1874 2015-07-24
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Competitor

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City TAMPA
Zip Code 33612

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Dataset Information

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.

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