Organization Active NPI

TCL Medical

  • Psychiatric/Mental Health Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1093398802
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TCL MEDICAL
Practice address
6613 49TH St N
Pinellas Park, FL 33781-5728
Phone
(727) 490-8670
Fax
(949) 561-4602
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Islam Ganie, APRN
Title
President
Phone
(727) 490-8670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6613 49TH St N
Pinellas Park, FL 33781-5728

Mailing address

6613 49TH St N
Pinellas Park, FL 33781-5728
Phone (727) 490-8670

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2217072TCL Medical Inc6613 49TH St N, Pinellas Park, FL 33781Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1093398802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 49TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815728",
            "telephone_number": "727-490-8670",
            "fax_number": "949-561-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 49TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815728",
            "telephone_number": "727-490-8670",
            "fax_number": "949-561-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "GANIE",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-490-8670",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.