Active NPI
Meara Queen, PHD, LP
- Psychologist
- Tampa, FL
National Provider Identifier
1265106900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11171
- Practice address
- 11806 Bruce B Downs Blvd # 1034
Tampa, FL 33612-5542 - Phone
- (813) 291-0969
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11171 | FL | Primary |
Addresses
Primary practice location
11806 Bruce B Downs Blvd # 1034
Tampa, FL 33612-5542
Mailing address
11806 Bruce B Downs Blvd # 1034
Tampa, FL 33612-5542
Phone (813) 291-0969
Other names 1
- Dr. Meara Thombre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 27, 2026 through May 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11171 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1265106900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11806 BRUCE B DOWNS BLVD # 1034",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125542",
"telephone_number": "813-291-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11806 BRUCE B DOWNS BLVD # 1034",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125542",
"telephone_number": "813-291-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEEN",
"first_name": "MEARA",
"name_prefix": "Dr.",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "11171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEARA",
"last_name": "THOMBRE",
"prefix": "DR.",
"credential": "PHD, LP",
"code": "1",
"type": "Former Name"
}
]
}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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.