Active NPI
Vip Senior Wellness Services LLC
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1003512120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VIP SENIOR WELLNESS SERVICES LLC
- Practice address
- 10115 Vista Pointe Dr
Tampa, FL 33635-6329 - Phone
- (718) 942-6595
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Eschrich
- Title
- Owner
- Phone
- (718) 942-6595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
10115 Vista Pointe Dr
Tampa, FL 33635-6329
Mailing address
10115 Vista Pointe Dr
Tampa, FL 33635-6329
Phone (718) 942-6595
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695945600000",
"number": "1003512120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 VISTA POINTE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356329",
"telephone_number": "718-942-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 VISTA POINTE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356329",
"telephone_number": "718-942-6595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP SENIOR WELLNESS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A",
"authorized_official_last_name": "ESCHRICH",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-942-6595"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.