NPIMap

Organization Active NPI

Ibis Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1336358555
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IBIS HEALTHCARE INC
Practice address
2208 E. Henry Avenue
Tampa, FL 33610-4300
Phone
(813) 272-2878
Fax
(813) 231-7324
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
IBIS HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Roaya Tyson
Title
Ceo
Phone
(813) 239-8088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X FL

Addresses

Primary practice location

2208 E. Henry Avenue
Tampa, FL 33610-4300

Mailing address

5707 N 22ND St
Tampa, FL 33610-4350
Phone (813) 239-8069

Other identifiers 1

IdentifierTypeStateIssuer
060272813MedicaidFL

Other names 1

  • Gracepoint Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Care17 organizations share this tax ID, including this one
Part of
Mental Health Care

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1336358555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-231-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 E. HENRY AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104300",
            "telephone_number": "813-272-2878",
            "fax_number": "813-231-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBIS HEALTHCARE INC",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ROAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-239-8088"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060272813",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracepoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 2026; 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.