MASAGANA (NPI# 1275166563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Masagana | Doing Business As Name - Organization |
| Street Address |
9315 N 16TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-8655 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| 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] |
| 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 |
| 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.