Individual provider Active NPI

Holly Haleh Tabrah, M.D.

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1083640353
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME76909 Issued in FL
Practice address
4240 5TH Ave SW
Naples, FL 34119-2909
Phone
(305) 814-5570
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2022014769 MO
Psychiatry Physician 2084P0800X 04-46121 KS
Psychiatry Physician 2084P0800X ME76909 FL Primary
Psychiatry Physician 2084P0800X 35-07-9156-T OH

Addresses

Primary practice location

4240 5TH Ave SW
Naples, FL 34119-2909

Mailing address

4240 5TH Ave SW
Naples, FL 34119-2909
Phone (305) 814-5530

Other practice location 1

3020 W Tech Blvd
Miamisburg, OH 45342-4883
Phone (305) 814-5530

Other identifiers 1

IdentifierTypeStateIssuer
263053200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentials@tabrahtelepsych.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090729000836 FL Practitioner - Psychiatry 9133272750 Reassigns benefits to 2 organizations
I20220503001167 MO Practitioner - Psychiatry 9133272750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-46121KSMDPsychiatry Physician
2022014769MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
David Lawrence Mental Health Center, Inc CurrentSince Jul 1, 2019 Accepting new patients
Saluscare, Inc. CurrentSince Jun 10, 2009 Accepting new patients
Vivent Health Inc CurrentSince Apr 1, 2022 Accepting new patients
Vivent Health Inc CurrentSince Apr 1, 2022 Accepting new patients
Atlantic Psychiatric Centers, Inc. Psychiatry PastSince Jan 24, 1997 Accepting new patients

Locations

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

4309 E 50th Ter
Kansas City, MO 64130
Phone (816) 561-8784

4309 E 50th Ter
Ste 200
Kansas City, MO 64130
Phone (816) 561-8784

2653 Locust St
Saint Louis, MO 63103
Phone (314) 645-6451

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Interoperability endpoints

  • Direct secure messaging: halehtabrah@tdh.allscriptsdirect.net

Organizations & group practices 6

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1083640353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 5TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192909",
            "telephone_number": "305-814-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 5TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341192909",
            "telephone_number": "305-814-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 W Tech Blvd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453424883",
            "country_code": "US",
            "telephone_number": "305-814-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABRAH",
        "first_name": "HOLLY",
        "middle_name": "HALEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2022014769",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-46121",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME76909",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-07-9156-T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263053200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentials@tabrahtelepsych.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text/plain or text/html",
            "address_1": "4240 5th Ave SW",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341192909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.