THOMAS J LUSTBERG


Address: 379 6th Ave W, Bradenton, FL 34205-8820
Phone: 9417824259

THOMAS J LUSTBERG (NPI# 1811982531) 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) 1811982531
Entity Type Individual
Full Name THOMAS J LUSTBERG
Credential MD FACS
Practice Address 379 6th Ave W
Bradenton
FL 34205-8820
Practice Telephone 9417824259
Practice Fax Number 9417824101
Mailing Telephone 9417824259
Mailing Fax Number 9417824101
Enumeration Date 2005-09-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
ME85868 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 379 6TH AVE W
City BRADENTON
State FL
Zip Code 34205-8820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639777485 Femina Y Patel Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2020-10-14
1790314318 Victoria Kastor Social Worker 379 6th Ave W, Bradenton, FL 34205-8820 2020-04-06
1275161341 Andrew R Penn Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2020-04-01
1881225704 Amanda Thomas Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2020-01-29
1871137216 Kelly Sinclair Humbarger Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2019-10-29
1194294181 Betsy Elsasser Psychologist 379 6th Ave W, Bradenton, FL 34205-8820 2018-11-19
1710452511 Elizabeth Murtaugh Marriage & Family Therapist 379 6th Ave W, Bradenton, FL 34205-8820 2018-10-08
1245735737 Reid Warren Schwabach Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2018-03-27
1679088686 Deirdre Michelle Guilloton Marriage & Family Therapist 379 6th Ave W, Bradenton, FL 34205-8820 2017-12-13
1245745132 Marissa Saladeen Shatkin Counselor 379 6th Ave W, Bradenton, FL 34205-8820 2017-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649811506 Fenix Drug Store, LLC Pharmacy 527 13th St W, Bradenton, FL 34205 2019-10-02
1326534702 Elaine Benitez Vazquez Developmental Therapist 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 2018-07-09
1437519402 Kenneth G Bannister Massage Therapist 302 26th Avenue East, Apt 101, Bradenton, FL 34205 2016-03-03
1780028415 Nic 4 Summerfield Leasing LLC Assisted Living Facility 3409 26th St. W., Bradenton, FL 34205 2013-04-24
1275803017 Jennifer Geanne Washington Massage Therapist 1901 9th Ave W, Bradenton, FL 34205 2012-01-11
1629352745 Susan K Stone Acupuncturist 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 2011-10-07
1588957609 Palma Sola Therapies LLC Physical Medicine & Rehabilitation 515 36th St., Suite D, Bradenton, FL 34205 2011-05-23
1023254836 Halle Kranz Counselor 239 301 Blvd W, Bradenton, FL 34205 2008-12-29
1235389537 Aisha Mohsin Malik Psychiatry & Neurology 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 2008-09-23
1689895146 Brenda Marie Wilson Counselor Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 2007-05-01
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295905602 Bartholomew Thomas Vereb Psychiatry & Neurology 3915 8th Ave W, Bradenton, FL 34205-1701 2008-03-03
1124014667 Dilip Chaparala Psychiatry & Neurology 379 6th Ave W, Bradenton, FL 34205-8820 2005-09-20

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1427670959 Md Support, LLC Psychiatry & Neurology 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 2020-05-06
1700412947 Clearminder Inc Psychiatry & Neurology 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 2020-03-19
1407495575 Doctor Sam, LLC Psychiatry & Neurology 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 2020-01-06
1053876524 A & P Psychiatric Services, Pllc Psychiatry & Neurology 233 Porgee Rock Pl, Jupiter, FL 33458-1635 2019-02-08
1568937894 D'morffi Family Services, L.l.c Psychiatry & Neurology 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 2018-10-13
1548775273 Embrace To Empower Wellness Center Psychiatry & Neurology 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 2017-12-04
1952829137 Child and Adolescent Tampa Bay Psychiatry, LLC Psychiatry & Neurology 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 2017-09-07
1386183580 Dr2go, Inc Psychiatry & Neurology 8860 Sw 123rd Ct, Miami, FL 33186-4152 2017-02-21
1851746069 Hannah Elizabeth Morrissey Psychiatry & Neurology University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 2016-04-26
1891150488 Tampa Bay Psychiatric Services Pl Psychiatry & Neurology 5664 Marquesas Cir, Sarasota, FL 34233-3331 2015-12-23
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Competitor

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City BRADENTON
Zip Code 34205

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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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