Individual provider Active NPI

Gary James Farinas, LMHC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1093854929
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11023448 Issued in FL
Practice address
106 W Windhorst Rd
Brandon, FL 33510-2455
Phone
(813) 401-2135
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7397 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11023448 FL Primary

Addresses

Primary practice location

106 W Windhorst Rd
Brandon, FL 33510-2455

Mailing address

11229 Great Neck Rd
Riverview, FL 33578-4684
Phone (813) 401-2135

Other practice location 1

221 Hobbs St
Suite 101
Tampa, FL 33619-8068
Phone (813) 657-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316002010 FL Practitioner - Nurse Practitioner 3971977836 Reassigns benefits to 2 organizations
Practice locations: Riverview, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MH7397FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Mar 9, 2024 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Mar 9, 2024 Accepting new patients
Brandon Psychiatric Group LLC CurrentSince Oct 3, 2023 Accepting new patients
Consult Care Inc PastSince Nov 7, 1994 Accepting new patients

Locations

106 W Windhorst Rd
Brandon, FL 33510
Phone (678) 923-6025

313 S Lakewood Dr
Brandon, FL 33511
Phone (813) 349-7900

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

Organizations & group practices 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1093854929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11229 GREAT NECK RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784684",
            "telephone_number": "813-401-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WINDHORST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102455",
            "telephone_number": "813-401-2135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Hobbs St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336198068",
            "country_code": "US",
            "telephone_number": "813-657-3200",
            "fax_number": "813-657-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARINAS",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7397",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11023448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.