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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME85868 | FL | Allopathic & Osteopathic Physicians |
Street Address |
379 6TH AVE W |
City | BRADENTON |
State | FL |
Zip Code | 34205-8820 |
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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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 |
Find all providers in zip 34205 |
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 |
---|---|---|---|---|
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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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.