TAMPA NEUROPSYCHIATRY – Behavioral Neurology & Neuropsychiatry Physician, NPI 1538617089
Behavioral Neurology & Neuropsychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TAMPA NEUROPSYCHIATRY
33920 US Highway 19 N Ste 340
Palm Harbor, FL 346842670
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Location
1118 Bell Shoals Rd
Brandon, FL 335118822
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Location
6450 38th Ave N Ste 200
St Petersburg, FL 337101649
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Location
2909, West Bay To Bay Boulevard, Palma Ceia, Tampa, Hillsborough County, Florida, 33629, United States
SUITE 110
TAMPA, FL 336298100
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Mailing
603 S BOULEVARD FL 2
TAMPA, FL 336062629
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Mailing
4710 N HABANA AVE STE 203
TAMPA, FL 336147146
Phone: (813) 995-1775
Fax: (813) 642-4877
Type: Mailing
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: 2017-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (800 days ago).
Enrollment records
1
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170306000063 | O | Clinic/Group Practice | FL | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34684)
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