DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) – Clinical Neuropsychologist, NPI 1740764158

DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) is a healthcare provider. based in Tampa, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PSY.0004889 (CO). The NPI Number for DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) is 1740764158

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. FABIAN ALEXANDRO CONSBRUCK (PSYD)
NPI
1740764158
Phone
(813) 467-6111
Address
5510 N HESPERIDES ST
Enumeration Date
20 September 2018
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203408290
Graduation Year
2017 (9 years ago)
PAC ID
5193158095
Professional Enrollment ID
I20220822003377
Address ID
CO801093959CA3855XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. FABIAN ALEXANDRO CONSBRUCK (PSYD)

  • 5510, North Hesperides Street, Egypt Lake-Leto, Hillsborough County, Florida, 33614, United States

    TAMPA, FL 336145414

    Phone: (813) 467-6111

    Type: Mailing

  • 1223 Daniels Rd

    Winter Garden, FL 347873835

    Phone: (720) 340-8290

    Type: Location

  • Beaumont Center Boulevard, Hillsborough County, Florida, 33634, United States

    TAMPA, FL 336345214

    Phone: (844) 556-2012

    Type: Location

  • PO BOX 1128

    GUAYNABO, PR 009701128

    Phone: (720) 340-8290

    Type: Mailing

  • 3855 AMBROSIA ST STE 302

    CASTLE ROCK, CO 801093959

    Phone: (720) 340-8290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191206002230IClinical PsychologistFLTBD
I20220822003377IClinical PsychologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96133Evaluation of neuropsychological test, each additional hour20631$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes15128$0
90837Psychotherapy, 1 hour8613$0
90791Psychiatric diagnostic evaluation3835$0
96132Evaluation of neuropsychological test, first hour3231$0
View full utilization report →

Insurance plans in this area (ZIP 33614)

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Reviews

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Frequently asked questions

How do payers reference DR. FABIAN ALEXANDRO CONSBRUCK (PSYD)?
For DR. FABIAN ALEXANDRO CONSBRUCK (PSYD), use NPI 1740764158 as the unique 10-digit identifier.
Is there an active status for DR. FABIAN ALEXANDRO CONSBRUCK (PSYD)?
For scheduling context, DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) is shown as active in the registry.
What clinical focus is listed for DR. FABIAN ALEXANDRO CONSBRUCK (PSYD)?
At a glance, DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) associated with Tampa?
Public fields place DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) around Tampa, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. FABIAN ALEXANDRO CONSBRUCK (PSYD) is noted as September 20, 2018 where the registry provides it.

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