Organization Active NPI

Renee Haney MD PA

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1376858266
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RENEE HANEY MD PA
Practice address
718 W Martin Luther King Jr Blvd
Suite 100a
Tampa, FL 33603-3135
Phone
(813) 224-0355
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Renee Haney, MD
Title
President
Phone
(813) 224-0355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X

Addresses

Primary practice location

718 W Martin Luther King Jr Blvd
Suite 100a
Tampa, FL 33603-3135

Mailing address

718 W Martin Luther King Jr Blvd
Suite 100a
Tampa, FL 33603-3135
Phone (813) 224-0355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1376858266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 100A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033135",
            "telephone_number": "813-224-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 100A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033135",
            "telephone_number": "813-224-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE HANEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-224-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 16, 2010; 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.