Active NPI
Peter Robert Vagg, PHD
- Addiction (Substance Use Disorder) Psychologist
- Tampa, FL
National Provider Identifier
1285164061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- PY3301
- Practice address
- 825 W Linebaugh Ave
Tampa, FL 33612-7855 - Phone
- (813) 931-5560
- Fax
- (813) 932-4960
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PY3301 | FL | Primary |
Addresses
Primary practice location
825 W Linebaugh Ave
Tampa, FL 33612-7855
Mailing address
825 W Linebaugh Ave
Tampa, FL 33612-7855
Phone (813) 931-5560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY3301 | FL | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285164061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127855",
"telephone_number": "813-931-5560",
"fax_number": "813-932-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W LINEBAUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127855",
"telephone_number": "813-931-5560",
"fax_number": "813-932-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGG",
"first_name": "PETER",
"middle_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "PY3301",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.