Individual provider Active NPI

Rebecca Klam, PSYD

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1003285289
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9953 Issued in FL
Practice address
5 Tampa General Cir Ste 410
Tampa, FL 33606-3578
Phone
(813) 844-7473
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9953 FL Primary

Addresses

Primary practice location

5 Tampa General Cir Ste 410
Tampa, FL 33606-3578

Mailing address

5 Tampa General Cir Ste 410
Tampa, FL 33606-3578
Phone (813) 844-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180105000078 FL Practitioner - Clinical Psychologist 6204195829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

5 Tampa General Cir
Tampa, FL 33606-3601
Phone (813) 844-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9953FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Sciences Center Inc CurrentSince Nov 1, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 23, 2020 Accepting new patients
Tampa General Medical Group Inc Clinical CurrentSince Apr 23, 2020 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

5 Tampa General Cir
Ste 410
Tampa, FL 33606
Phone (813) 844-7473

5 Tampa General Cir
Tampa, FL 33606
Phone (813) 251-0793

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • FL PPO
  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: rchermak136094@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003285289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063578",
            "telephone_number": "813-844-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063578",
            "telephone_number": "813-844-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAM",
        "first_name": "REBECCA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.