Mental Health Associates of Tampa Bay, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

SW1344 Issued in FL

Legal business name

MENTAL HEALTH ASSOCIATES OF TAMPA BAY, INC.

Practice address

3632 Hawkshead Dr
Clermont, FL 34711-6940

Phone

(352) 243-1319

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Vincent A Caruso, MSW, LCSW

Title

President

Phone

(352) 243-1319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1235537184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 HAWKSHEAD DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116940",
            "telephone_number": "352-243-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 HAWKSHEAD DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116940",
            "telephone_number": "352-243-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES OF TAMPA BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-1319",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Michelle Mendez, M.S.,CCC-SLP
• Daniel Mendez
• Vipin Kumar Mendiratta, MD
• Yasmine Meneses
• Mental Clarity Psychiatry PLLC
• Remelyn Falle Mercado, APRN
• Mercy Living Care LLC
• Meridian Health Systems, Inc
• Chelsea Merrow, APRN
• Rhode Mesidor

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.