Organization Active NPI

Interface Consulting and Psychological Services, LLC

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1225536287
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTERFACE CONSULTING AND PSYCHOLOGICAL SERVICES, LLC
Practice address
311 S Brevard Ave
Tampa, FL 33606-2213
Phone
(813) 421-2375
NPI assigned
Jan 24, 2018
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Irma Campos, PHDNPI 1437659273
Title
President
Phone
(813) 421-2375

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

311 S Brevard Ave
Tampa, FL 33606-2213

Mailing address

311 S Brevard Ave
Tampa, FL 33606-2213

Other practice location 1

313 E Oak Ave Ste 201
Tampa, FL 33602-2368
Phone (813) 421-2375

Other practice location 2

20747 Sterlington Dr
Land O Lakes, FL 34638-4317
Phone (813) 421-2375

Other practice location 3

5606 N Nebraska Ave
Tampa, FL 33604-7124
Phone (813) 421-2375

National Provider Directory

National Provider Directory

Locations

313 E Oak Ave
Ste 201
Tampa, FL 33602
Phone (813) 421-2375

3825 Henderson Blvd
Ste 505B
Tampa, FL 33629
Phone (813) 421-2375

5606 N Nebraska Ave
Tampa, FL 33604
Phone (813) 421-2375

311 S Brevard Ave
Tampa, FL 33606
Phone (813) 421-2375

3825 Henderson Blvd
#505B
Tampa, FL 33629

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1225536287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S BREVARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S BREVARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062213",
            "telephone_number": "813-421-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 E Oak Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336022368",
            "country_code": "US",
            "telephone_number": "813-421-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20747 Sterlington Dr",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346384317",
            "country_code": "US",
            "telephone_number": "813-421-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5606 N Nebraska Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336047124",
            "country_code": "US",
            "telephone_number": "813-421-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERFACE CONSULTING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-421-2375",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Jan 10, 2025; 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.