PETER ROBERT VAGG (NPI# 1285164061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285164061 |
| Entity Type | Individual |
| Full Name | PETER ROBERT VAGG |
| Credential | PHD |
| Practice Address |
825 W Linebaugh Ave Tampa FL 33612-7855 |
| Practice Telephone | (813) 931-5560 |
| Practice Fax Number | 8139324960 |
| Mailing Telephone | 8139315560 |
| Mailing Fax Number | 8139324960 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PY3301 | FL | Behavioral Health & Social Service Providers |
| Street Address |
825 W LINEBAUGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-7855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922105188 | Healthcare Connection of Tampa Inc. | Clinic/Center | 825 W Linebaugh Ave, Tampa, FL 33612 | 2006-09-20 |
| 1740890847 | Chris Nicely | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2020-08-04 |
| 1275168338 | Michael P Hammer | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2020-03-10 |
| 1871130211 | Alton Fredericks II | Occupational Therapist | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2019-12-04 |
| 1295238996 | Michael D Davis | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-09 |
| 1740782838 | Jennifer Shepherd | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1609378868 | Melissa L Welch | Registered Nurse | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1639671894 | Amanda R Haun | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1275035438 | Dennis D Delvecchio | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
| 1316264435 | Brian L Gadbois | Psychiatry & Neurology | 825 W Linebaugh Ave, Tampa, FL 33612 | 2010-04-29 |
| Find all providers in the same location | ||||
| 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 | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700953270 | April Michelle Jackson James | Psychologist | 5510 N Hesperides St, Tampa, FL 33614-5414 | 2006-11-29 |
| 1588664973 | Scott Anderson | Psychologist | 120 E Fletcher Ave, Ste 100, Tampa, FL 33612-3407 | 2005-07-28 |
| 1861510091 | Alan Ickowitz, Psy.d., P.a. | Psychologist | 6105 Memorial Hwy, Ste B, Tampa, FL 33615-4597 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978229 | Southern Florida Psychiatric Services LLC | Psychologist | 10750 Se Federal Hwy, Hobe Sound, FL 33455-4920 | 2020-10-06 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1215490099 | And Recovery & Behavioral Health LLC | Psychologist | 4711 2nd Ave S, St Petersburg, FL 33711-1013 | 2019-04-09 |
| 1285117549 | Parthenon Medical Pllc | Psychologist | 5105 Bowden Rd Ste 3, Jacksonville, FL 32216-5907 | 2018-09-12 |
| 1932688173 | Ecounsel LLC | Psychologist | 120 S Olive Ave # 602, West Palm Beach, FL 33401-5501 | 2018-08-08 |
| 1730670167 | Alonderay Abner-johnson | Psychologist | 7357 120th Ave N, West Palm Beach, FL 33412-1463 | 2018-05-22 |
| 1942711841 | Alma Center LLC | Psychologist | 17100 Royal Palm Blvd Ste 1, Weston, FL 33326-2308 | 2017-10-18 |
| 1871022590 | South Florida Addiction & Recovery Group, LLC | Psychologist | 4824 10th Ave N, Greenacres, FL 33463-2208 | 2017-06-06 |
| 1427582949 | John Marika | Psychologist | 830 Bayside Ln, Weston, FL 33326-3340 | 2017-04-12 |
| 1184075152 | Dr. Duane Frisby | Psychologist | 1767 Harborside Cir, Wellington, FL 33414-8068 | 2016-06-30 |
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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.