Organization Active NPI

Plaza Therapy Associates, Inc.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1184849325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004407 Issued in FL
Legal business name
PLAZA THERAPY ASSOCIATES, INC.
Practice address
5201 W Kennedy Blvd
Suite 620
Tampa, FL 33609-1845
Phone
(813) 281-9383
Fax
(813) 349-1766
NPI assigned
Apr 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Ronald Lerom, PSY.D.NPI 1487702502
Title
President
Phone
(813) 281-9383

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY0004407 FL Primary

Addresses

Primary practice location

5201 W Kennedy Blvd
Suite 620
Tampa, FL 33609-1845

Mailing address

5201 W Kennedy Blvd
Suite 620
Tampa, FL 33609-1845
Phone (813) 281-9383

National Provider Directory

National Provider Directory

Locations

5201 W Kennedy Blvd
Ste 620
Tampa, FL 33609
Phone (813) 281-9383

Practitioners & affiliated clinicians

Practitioners 2

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": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184849325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 W KENNEDY BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091845",
            "telephone_number": "813-281-9383",
            "fax_number": "813-349-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W KENNEDY BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091845",
            "telephone_number": "813-281-9383",
            "fax_number": "813-349-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEROM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-281-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004407",
            "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 Aug 22, 2020; 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.