Active NPI
Tamara Eleanor Wohlwend, ED.S., BCBA, NCSP
- School Psychologist
- Riverview, FL
National Provider Identifier
1538460290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS911
- Practice address
- 12205 Wildbrook Dr
Riverview, FL 33569-4111 - Phone
- (813) 995-4012
- NPI assigned
- Nov 11, 2010
- Last updated
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS911 | FL | Primary |
| Behavior Analyst | 103K00000X | 0-07-2222 | FL |
Addresses
Primary practice location
12205 Wildbrook Dr
Riverview, FL 33569-4111
Mailing address
12205 Wildbrook Dr
Riverview, FL 33569-4111
Phone (813) 995-4012
Other practice location 1
12205 Wildbrook Dr
Riverview, FL 33569-4111
Phone (813) 748-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS911 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchored Behavior Solutions LLC | Behavior Analyst | Past | Accepting new patients |
| Positive Abilities, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Riverview, FL
- NPI 1114480795
-
- Community/Behavioral Health Agency
- Gibsonton, FL
- NPI 1477719219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1538460290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 WILDBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335694111",
"telephone_number": "813-995-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12205 WILDBROOK DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335694111",
"telephone_number": "813-995-4012"
}
],
"practiceLocations": [
{
"address_1": "12205 Wildbrook Dr",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335694111",
"country_code": "US",
"telephone_number": "813-748-2477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLWEND",
"first_name": "TAMARA",
"middle_name": "ELEANOR",
"name_prefix": "Mrs.",
"credential": "ED.S., BCBA, NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-11",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS911",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-07-2222",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.