Individual provider Active NPI

Tania Sophia Harvey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1295445914
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11021632 Issued in FL
Practice address
2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282
Phone
(407) 903-9696
Fax
(407) 903-9696
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11021632 FL Primary

Addresses

Primary practice location

2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282

Mailing address

2869 Wilshire Dr Ste 203
Orlando, FL 32835-3282
Phone (407) 903-9696

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Laptop Health Information Exchange (HIE)
CONNECT URL Laptop Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315001178 FL Practitioner - Nurse Practitioner 4284008244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021632FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Dec 5, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Apr 24, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Apr 24, 2023 Accepting new patients
Bay Hill Psychiatric Associates LLC CurrentSince Dec 13, 2022 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Dec 5, 2024 Accepting new patients
Balanced Wellbeing LLC CurrentSince Mar 20, 2023 Accepting new patients

Locations

22385 Flora Parke Xing
Fernandina Beach, FL 32034
Phone (904) 404-8641

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

2869 Wilshire Dr
Ste 203
Orlando, FL 32835
Phone (407) 903-9696

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1295445914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 WILSHIRE DR STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353282",
            "telephone_number": "407-903-9696",
            "fax_number": "407-903-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 WILSHIRE DR STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353282",
            "telephone_number": "407-903-9696",
            "fax_number": "407-903-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TANIA",
        "middle_name": "SOPHIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11021632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2869 Wilshire Dr Ste 203",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328353282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2869 Wilshire Dr Ste 203",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328353282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.