Active NPI
Triumph Psychiatry LLC
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1225785835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- TRIUMPH PSYCHIATRY LLC
- Practice address
- 109 W Fortune St Apt 1516
Tampa, FL 33602-3221 - Phone
- (248) 881-7971
- NPI assigned
- Mar 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodwan Mahfouz, M.D.
- Title
- Ao
- Phone
- (917) 300-9610
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
109 W Fortune St Apt 1516
Tampa, FL 33602-3221
Mailing address
109 W Fortune St Apt 1516
Tampa, FL 33602-3221
Phone (248) 881-7971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/26014/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1225785835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W FORTUNE ST APT 1516",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023221",
"telephone_number": "248-881-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W FORTUNE ST APT 1516",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023221",
"telephone_number": "248-881-7971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIUMPH PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "MAHFOUZ",
"authorized_official_first_name": "RODWAN",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "917-300-9610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.