Organization Active NPI

Tampa Psychology Group

  • Psychologist
  • Brandon, FL
National Provider Identifier
1346738705
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TAMPA PSYCHOLOGY GROUP
Practice address
1463 Oakfield Dr Ste 109
Brandon, FL 33511
Phone
(813) 992-1880
Fax
(813) 235-4181
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Rochelle Taormina, PHDNPI 1902237951
Title
Licensed Psychologist
Phone
(813) 210-2355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X

Addresses

Primary practice location

1463 Oakfield Dr Ste 109
Brandon, FL 33511

Mailing address

11111 Silver Dancer Dr
Riverview, FL 33579-2354
Phone (813) 210-2355

Other identifiers 1

IdentifierTypeStateIssuer
016590900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1463 Oakfield Dr
Ste 109
Brandon, FL 33511
Phone (813) 992-1880

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": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1346738705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 SILVER DANCER DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335792354",
            "telephone_number": "813-210-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 109",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-992-1880",
            "fax_number": "813-235-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "TAORMINA",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-210-2355",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016590900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.