Individual provider Active NPI

Deborah Knudson, MD

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1104016633
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME131782 Issued in FL
Practice address
3848 Flatiron Loop Unit 102
Wesley Chapel, FL 33544-7825
Phone
(857) 201-0228
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME131782 FL Primary
Psychiatry Physician 2084P0800X 246772 MA

Addresses

Primary practice location

3848 Flatiron Loop Unit 102
Wesley Chapel, FL 33544-7825

Mailing address

809 S Fremont Ave
Tampa, FL 33606-2814
Phone (813) 409-1729

Other practice location 1

1051 Beacon St Ste 203B
Brookline, MA 02446-5744
Phone (857) 201-0228

Other practice location 2

3515 E Fletcher Ave # Mdc14
Tampa, FL 33613-4706
Phone (813) 974-8900

Other identifiers 2

IdentifierTypeStateIssuer
021751700MedicaidFL
T280AOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Deborah Knudson Gonzalez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dknudsongonzalez133131@direct.tgh.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003004681 FL Practitioner - Psychiatry 3476733809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

4700 N Habana Ave
Suite 703
Tampa, FL 33614-7122
Phone (813) 678-2373

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc CurrentSince Jul 25, 2017 Accepting new patients
University Medical Service Association Inc Psychiatry CurrentSince Jul 25, 2017 Accepting new patients
Nest Psychiatry FL PLLC Psychiatry Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Aug 10, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Aug 10, 2025 Accepting new patients
State of Connecticut Past Accepting new patients

Locations

7451 Wiles Rd
Ste 103
Coral Springs, FL 33067
Phone (954) 340-0173

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

4700 N Habana Ave
Ste 703
Tampa, FL 33614
Phone (813) 678-2373

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

3515 E Fletcher Ave
#14
Tampa, FL 33613
Phone (813) 974-8900

3848 Flatiron Loop
Unit 102
Wesley Chapel, FL 33544
Phone (813) 648-7220

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1104016633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S FREMONT AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062814",
            "telephone_number": "813-409-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 FLATIRON LOOP UNIT 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447825",
            "telephone_number": "857-201-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Beacon St Ste 203B",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465744",
            "country_code": "US",
            "telephone_number": "857-201-0228",
            "fax_number": "857-270-7245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 E Fletcher Ave # Mdc14",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134706",
            "country_code": "US",
            "telephone_number": "813-974-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME131782",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "246772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021751700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "T280A",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dknudsongonzalez133131@direct.tgh.org",
            "affiliation": "N",
            "address_1": "3515 E Fletcher Ave # Mdc14",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336134706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "KNUDSON GONZALEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.