South Tampa Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH TAMPA PSYCHOTHERAPY LLC

Practice address

205 S Hoover Blvd Ste 205
Tampa, FL 33609-3533

Phone

(813) 370-0994

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Colin DavisNPI 1477995512

Title

Psychotherapist

Phone

(813) 370-0994

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Colin M Davis, MSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1477995512
  NPD (past) Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1114409117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HOOVER BLVD STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HOOVER BLVD STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093533",
            "telephone_number": "813-370-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TAMPA PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "813-370-0994"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Tampa Medical Associates Inc
• South Tampa Private Therapy, LLC
• South Tampa Psychiatry
• South Tampa Surgery Center, LLC.
• South Tampa Surgical PLLC
• South Tampa Therapy and Wellness Inc
• South Tampa Voice Therapy, LLC
• Joe South, PA-C

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.