Individual provider Active NPI

Thomas Hunt-Felke, PHD

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1144698234
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10019 Issued in FL
Practice address
2701 W Busch Blvd Ste 201
Tampa, FL 33618-4578
Phone
(626) 388-7546
Fax
(813) 618-5906
NPI assigned
Sep 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10019 FL Primary

Addresses

Primary practice location

2701 W Busch Blvd Ste 201
Tampa, FL 33618-4578

Mailing address

5701 N Miami Ave
Tampa, FL 33604-7115
Phone (813) 540-2403

Other practice location 1

2919 W Swann Ave Ste 201
Tampa, FL 33609-4050
Phone (813) 381-5200

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171202000090 FL Practitioner - Clinical Psychologist 9830456680 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY10019FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nest Developmental Services, LLC Clinical CurrentSince Apr 25, 2023 Accepting new patients

Locations

2701 W Busch Blvd
Ste 201
Tampa, FL 33618
Phone (626) 388-7546

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1144698234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 N MIAMI AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336047115",
            "telephone_number": "813-540-2403",
            "fax_number": "813-618-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W BUSCH BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184578",
            "telephone_number": "626-388-7546",
            "fax_number": "813-618-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 W Swann Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094050",
            "country_code": "US",
            "telephone_number": "813-381-5200",
            "fax_number": "813-381-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT-FELKE",
        "first_name": "THOMAS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.