DR. MARYAM BEHDARVANDI (NPI# 1982089561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982089561 |
| Entity Type | Organization |
| Organization Name | DR. MARYAM BEHDARVANDI |
| Practice Address |
2908 W Waters Ave Ste 101 Tampa FL 33614-1874 |
| Mailing Address |
5005 Derry Way Tampa FL 33647-1091 |
| Practice Telephone | 8133400901 |
| Mailing Telephone | 8133400901 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | DR. MARYAM BEHDARVANDI (PROVIDER) |
| Authorized Official Telephone | 8133400901 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY6701 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED PSYCHOLOGIST | PY6701 | 01 |
| Street Address |
2908 W WATERS AVE STE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982844288 | Azam Donna Arshadi | Counselor | 2908 W Waters Ave Ste 101, Tampa, FL 33614-1874 | 2009-02-26 |
| 1801400882 | R&b Medical Center, LLC. | Family Medicine | 2908 W Waters Ave Ste 101, Tampa, FL 33614-1874 | 2020-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1275166563 | Masagana | Clinic/Center | 9315 N 16th St, Tampa, FL 33612-8655 | 2020-02-15 |
| 1952734972 | Caroline Seignon | Clinic/Center | 20205 Autumn Fern Ave, Tampa, FL 33647 | 2013-08-13 |
| 1902425390 | Kris Mulhollen LLC | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2020-04-15 |
| 1952960684 | Rosana Marzullo-dove, Psyd, LLC | Clinic/Center | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2019-06-06 |
| 1407412075 | Healthy Mind, Corp | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-05-19 |
| 1417467283 | James A. Haley Va | Clinic/Center | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-10-06 |
| 1750816054 | Rpa Healthcare LLC | Clinic/Center | 3010 E 138th Ave, Suite 7, Tampa, FL 33613-3904 | 2017-04-24 |
| 1104362979 | Lisa M. Petrica-moser, Ph.d. Inc. | Clinic/Center | 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6383 | 2017-01-17 |
| 1912370594 | Tampa Life Change | Clinic/Center | 720 W Dr Martin Luther King Jr Blvd, Suite B, Tampa, FL 33603-3134 | 2015-11-04 |
| 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.