Organization Active NPI

Thought Vista Psychiatry, LLC

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1073336632
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THOUGHT VISTA PSYCHIATRY, LLC
Practice address
2111 W Swann Ave Ste 204
Tampa, FL 33606-2478
Phone
(216) 785-7080
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Nicole Shirvani, MDNPI 1295175347
Title
Manager
Phone
(216) 785-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2111 W Swann Ave Ste 204
Tampa, FL 33606-2478

Mailing address

3225 McLeod Dr Ste 100
Las Vegas, NV 89121-2257

Other names 3

  • Healing Her MD Doing business as
  • The Peripartum Psychiatrist Doing business as
  • Thought Vista, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1073336632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 MCLEOD DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SWANN AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062478",
            "telephone_number": "216-785-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUGHT VISTA PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "SHIRVANI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-785-7080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Her MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Peripartum Psychiatrist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thought Vista, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 4, 2024; 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.