Organization Active NPI

Interactive Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1437953759
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTERACTIVE PSYCHIATRY LLC
Practice address
110 W Country Club Dr Ste B
Tampa, FL 33612-5651
Phone
(813) 815-8995
NPI assigned
Apr 3, 2025
Last updated
Jul 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Authorized official

Name
Taimaris Mas Marante, APRN PMHNP-BCNPI 1568248748
Title
Psychiatry Nurse Practitioner
Phone
(786) 260-2702

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

110 W Country Club Dr Ste B
Tampa, FL 33612-5651

Mailing address

10025 Lake Oak Cir
Tampa, FL 33624-5287
Phone (786) 260-2702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822000231 FL Part B Supplier - Clinic/Group Practice 2668972837 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

110 W Country Club Dr
Ste B
Tampa, FL 33612
Phone (813) 815-8995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFJIDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751673600000",
    "number": "1437953759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 LAKE OAK CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245287",
            "telephone_number": "786-260-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W COUNTRY CLUB DR STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125651",
            "telephone_number": "813-815-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "MAS MARANTE",
        "authorized_official_first_name": "TAIMARIS",
        "authorized_official_title_or_position": "PSYCHIATRY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-260-2702",
        "authorized_official_credential": "APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.