DR. PHYLLIS SIROTTA FELDMAN (NPI# 1528148822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528148822 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS SIROTTA FELDMAN |
| Credential | M.D. |
| Practice Address |
4202 E Fowler Ave Shs 100 Tampa FL 33620-6750 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742331 |
| Practice Fax Number | 8139745888 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME 40522 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250825700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 30692 | 01 |
| Street Address |
4202 E FOWLER AVE SHS 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793004 | Melissa M Bailey | Nurse Practitioner | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2005-10-12 |
| 1023615226 | Allison Bootz | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-10-01 |
| 1265050926 | Macy Franklin | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-07-09 |
| 1043834351 | Marian Alice Lowther | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-06-02 |
| 1235750928 | Bethany Moorhouse | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-05-04 |
| 1245872985 | Stacey Julia Struhar | Dietitian, Registered | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-10-15 |
| 1609439074 | Khalid Shakfeh | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-20 |
| 1598228256 | Isabella Abbasi | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-10 |
| 1396201448 | Vanessa Chantal Barber | Social Worker | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-02-13 |
| 1588128698 | Kassandra Lynch | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1912082199 | Rebecca Marie Lutz | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-10-26 |
| 1306956206 | Wendy Weiss | Family Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-08-30 |
| 1518472901 | Kacey Garcia Poulin | Speech-Language Pathologist | 4202 E Fowler Ave PCd2000, Tampa, FL 33620-0001 | 2017-12-06 |
| 1598275695 | Laura Anne Marshall | Behavior Technician | Usf Birch Drive, Tampa, FL 33620-0001 | 2017-10-04 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| Find all providers in zip 33620 | ||||
| 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 |
|---|---|---|---|---|
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 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 |
| 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.