Individual provider Active NPI

Gary Liu, MD, PHD

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1134706989
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME173028 Issued in FL
Practice address
4100 W Kennedy Blvd Ste 303
Tampa, FL 33609-2257
Phone
(813) 419-2067
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 ME173028 FL Primary
Psychiatry Physician 2084P0800X MD481609 PA

Addresses

Primary practice location

4100 W Kennedy Blvd Ste 303
Tampa, FL 33609-2257

Mailing address

3512 W Obispo St
Tampa, FL 33629-7917
Phone (813) 419-2067

Other practice location 1

3535 Market St Fl 2
Philadelphia, PA 19104-3317
Phone (215) 746-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 25, 2025 through Aug 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME173028FLMDPsychiatry Physician
MD481609PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eve Psychiatry, LLC Psychiatry CurrentSince Aug 3, 2025 Accepting new patients

Locations

4100 W Kennedy Blvd
Ste 303
Tampa, FL 33609
Phone (510) 364-0406

Organizations & group practices 1

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1134706989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 W OBISPO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297917",
            "telephone_number": "813-419-2067",
            "fax_number": "305-703-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 303",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092257",
            "telephone_number": "813-419-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Market St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043317",
            "country_code": "US",
            "telephone_number": "215-746-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME173028",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD481609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.