NPIMap

Organization Active NPI

Tampa Behavioral Hospital LLC

  • Psychiatric Hospital
  • Tampa, FL
National Provider Identifier
1316775372
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
TAMPA BEHAVIORAL HOSPITAL LLC
Practice address
1303 W Kennedy Blvd
Tampa, FL 33606-1848
Phone
(615) 920-7000
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Douglas Leonardo
Title
Chief Executive Officer
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1303 W Kennedy Blvd
Tampa, FL 33606-1848

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • TGH Behavioral Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116003154 FL Part A Provider - Hospital 3971031022 Practice locations: Tampa, FL

Hospital certification: CCN 104086

Legal name
TAMPA BEHAVIORAL HOSPITAL LLC
Doing business as
TGH BEHAVIORAL HEALTH HOSPITAL
Organization structure
LLCProprietary
Enrollment address
1303 W Kennedy Blvd
Tampa, FL 33606-1848
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2319193Tampa Behavioral Hospital, LLC1303 W Kennedy Blvd, Tampa, FL 33606Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Locations

1303 W Kennedy Blvd
Tampa, FL 33606
Phone (656) 789-6084

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Behavioral Health, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
Nicoletta B Tessler Individual Corporate Director Jul 7, 2025
Stephen Harris Individual Corporate Director Mar 4, 2025
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
Mark Runyon Individual Corporate Director Mar 4, 2025
Florida Health Sciences Center Inc Organization, Tampa, FL Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 4, 2025 60%
Lifepoint Behavioral Health Hospital Services, LLC Organization, Brentwood, TN LLC, Management services company, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
Lifepoint Rehab LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
LPNT BH Development 3 LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 4, 2025 40%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%
John D Couris Individual Corporate Director Mar 4, 2025
Cleve C Haralson Individual Corporate Director Mar 4, 2025
Douglas Leonardo Individual W-2 Managing EmployeeChief Executive Officer Mar 4, 2025
Russell a Bailey Individual Corporate Director Mar 4, 2025
Ryan Wagoner Individual Corporate Director Mar 4, 2025
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 4, 2025 40%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 73

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 73

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1316775372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061848",
            "telephone_number": "615-920-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BEHAVIORAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LEONARDO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGH Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TGH Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.