Active NPI
Holly Haleh Tabrah, M.D.
- Psychiatry Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME76909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263053200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentials@tabrahtelepsych.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-46121 | KS | MD | Psychiatry Physician |
| 2022014769 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| David Lawrence Mental Health Center, Inc | Current | Accepting new patients | |
| Saluscare, Inc. | Current | Accepting new patients | |
| Vivent Health Inc | Current | Accepting new patients | |
| Vivent Health Inc | Current | Accepting new patients | |
| Atlantic Psychiatric Centers, Inc. | Psychiatry | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Naples, FL
- NPI 1801891940
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1972557197
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1770721607
-
- Psychiatry Physician
- Palm Bay, FL
- NPI 1386691418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.