CENTER FOR CHILD AND ADULT PSYCHIATRY LLC (NPI# 1861950420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861950420 |
| Entity Type | Organization |
| Organization Name | CENTER FOR CHILD AND ADULT PSYCHIATRY LLC |
| Practice Address |
2909 W Bay To Bay Blvd Ste 210 Tampa FL 33629-8100 |
| Mailing Address |
1911 Monongahela Ave Unit 82661 Pittsburgh PA 15218-6616 |
| Practice Telephone | 8139951775 |
| Mailing Telephone | 3306320173 |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-03-03 |
| Authorized Official Name | GREGORY THORKELSON (PRESIDENT) |
| Authorized Official Telephone | 3306320172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM | 1295225597 | 01 |
| Street Address |
2909 W BAY TO BAY BLVD STE 210 |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356572119 | Faizi Ahmed | Psychiatry & Neurology | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629-8100 | 2009-07-28 |
| 1649818766 | Amanda Quirin | Counselor | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629-8100 | 2019-12-19 |
| 1891167383 | Natalie Michelle Romano | Physician Assistant | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629 | 2015-10-23 |
| 1518261973 | Joshua Elliott Shannon | Counselor | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629-8100 | 2010-12-28 |
| 1063715092 | Kathryn A Kloss | Physician Assistant | 2909 W Bay To Bay Blvd Ste 210, Tampa, FL 33629 | 2010-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| 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 |
| 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 |
| 1831466846 | Kirtikumar J. Pandya, M.d., Pa | Psychiatry & Neurology | 5106 N Armenia Ave, Suite #3, Tampa, FL 33603-1433 | 2011-11-18 |
| 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.