NEUROBEHAVIORAL MEDICINE LLC (NPI# 1780130773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780130773 |
| Entity Type | Organization |
| Organization Name | NEUROBEHAVIORAL MEDICINE LLC |
| Practice Address |
613 W Dr Martin Luther King Jr Blvd Ste 102 Tampa FL 33603-3400 |
| Mailing Address |
6310 Sea Lavender Ln Tampa FL 33625-3766 |
| Practice Telephone | 8132371958 |
| Practice Fax Number | 8132378147 |
| Mailing Telephone | 2158631653 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | PRAGNESH P PATEL (OWNER) |
| Authorized Official Telephone | 2158631653 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
613 W DR MARTIN LUTHER KING JR BLVD STE 102 |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104141423 | Pragneshkumar P Patel | Psychiatry & Neurology | 613 W Dr Martin Luther King Jr Blvd Ste 102, Tampa, FL 33603-3400 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043776859 | Ann Park | Psychiatry & Neurology | 1002b S Church Ave # 320056, Tampa, FL 33629-5018 | 2019-02-17 |
| 1730652645 | South Tampa Psychiatry | Psychiatry & Neurology | 2919 W Swann Ave Ste 104, Tampa, FL 33609-4049 | 2019-01-03 |
| 1902393069 | Tampa Bay Center for Psychological Health | Psychiatry & Neurology | 14924 Casey Rd Unit 3b, Tampa, FL 33624-2317 | 2018-04-15 |
| 1508222324 | Behavioral Health Science of West Florida, LLC | Psychiatry & Neurology | 508 S Habana Ave Ste 380, Tampa, FL 33609-4144 | 2016-01-08 |
| 1912249228 | Scott Edward Nelson | Psychiatry & Neurology | 3515 E Fletcher Ave # 14, Tampa, FL 33613 | 2013-03-25 |
| 1649533787 | Sumaira Fayyaz Khan Md LLC | Psychiatry & Neurology | 18022 Cozumel Isle Dr, Tampa, FL 33647-3373 | 2012-06-22 |
| 1225355340 | Chetan P Gandhy | Psychiatry & Neurology | 13330 Usf Laurel Dr., Tampa, FL 33612-4742 | 2010-04-29 |
| 1396060174 | Shirrin Ahmadi-davis | Psychiatry & Neurology | 2727 W Mlk Blvd, Suite 640, Tampa, FL 33607-6383 | 2010-04-05 |
| 1104141423 | Pragneshkumar P Patel | Psychiatry & Neurology | 613 W Dr Martin Luther King Jr Blvd Ste 102, Tampa, FL 33603-3400 | 2010-03-30 |
| 1497081624 | Nancy Dinwoodie | Psychiatry & Neurology | 3515 Heards Ferry Dr, Tampa, FL 33618-2922 | 2009-10-22 |
| 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.