NPIMap

Organization Active NPI

Felix J. Subervi III PH.D. PA

  • Psychologist
  • Tampa, FL
National Provider Identifier
1104070200
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5313 Issued in FL
Legal business name
FELIX J. SUBERVI III PH.D. PA
Practice address
201 N. Macdill Ave.
Tampa, FL 33609
Phone
(813) 876-1832
Fax
(813) 876-0133
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Felix J Subervi III, PH.D.NPI 1750429965
Title
Clinical Psychologist
Phone
(813) 876-1832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH 4892 FL
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PY5313 FL Primary

Addresses

Primary practice location

201 N. Macdill Ave.
Tampa, FL 33609

Mailing address

201 N Macdill Ave
Tampa, FL 33609-1523
Phone (813) 876-1832

National Provider Directory

National Provider Directory

Locations

201 N Macdill Ave
Tampa, FL 33609
Phone (813) 876-1832

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1104070200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091523",
            "telephone_number": "813-876-1832",
            "fax_number": "813-876-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. MACDILL AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-876-1832",
            "fax_number": "813-876-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX J. SUBERVI III PH.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "SUBERVI",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-876-1832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4892",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.