NPIMap

Organization Active NPI

New Tampa Behavioral Health, Inc.

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1518974476
Registry record updated Jul 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-03-1200 Issued in FL
Legal business name
NEW TAMPA BEHAVIORAL HEALTH, INC.
Practice address
8532 Canterbury Lake Blvd
Tampa, FL 33619-6674
Phone
(813) 382-2056
Fax
(813) 200-3949
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2011

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

Authorized official

Name
Dr. Jonathan A Worcester, PH.D., NCSP, BCBA-D
Title
Director
Phone
(813) 382-2056

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 4942 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-03-1200 FL Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X SS 974 FL
Early Intervention Provider Agency 252Y00000X FL

Addresses

Primary practice location

8532 Canterbury Lake Blvd
Tampa, FL 33619-6674

Mailing address

PO Box 46206
Tampa, FL 33646
Phone (813) 382-2056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309564800000",
    "number": "1518974476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33646",
            "telephone_number": "813-382-2056",
            "fax_number": "813-200-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 CANTERBURY LAKE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196674",
            "telephone_number": "813-382-2056",
            "fax_number": "813-200-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW TAMPA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-07-02",
        "status": "A",
        "authorized_official_last_name": "WORCESTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-382-2056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., NCSP, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4942",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-03-1200",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS 974",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "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 Jul 2, 2011; 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.