NPIMap

Organization Active NPI

Interventionalpsychiatry of Tampa Bay

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1013677855
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTERVENTIONALPSYCHIATRY OF TAMPA BAY
Practice address
1001 S Macdill Ave Ste 100
Tampa, FL 33629-5245
Phone
(813) 251-1800
Fax
(813) 251-9422
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Dr. Jamie Winderbaum Fernandez, MD
Title
Owner
Phone
(813) 251-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1001 S Macdill Ave Ste 100
Tampa, FL 33629-5245

Mailing address

1001 S Macdill Ave Ste 100
Tampa, FL 33629-5245
Phone (813) 251-1800

Other identifiers 1

IdentifierTypeStateIssuer
93153OtherFLORIDA

National Provider Directory

National Provider Directory

Locations

1001 S Macdill Ave
Ste 100
Tampa, FL 33629
Phone (813) 251-1800

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1013677855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MACDILL AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295245",
            "telephone_number": "813-251-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MACDILL AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295245",
            "telephone_number": "813-251-1800",
            "fax_number": "813-251-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONALPSYCHIATRY OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "WINDERBAUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-251-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA",
            "identifier": "93153",
            "state": null
        }
    ],
    "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 Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.