Organization Active NPI

Ayoub Mental Health Clinic, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1548091184
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AYOUB MENTAL HEALTH CLINIC, LLC
Practice address
32732 Pez Landing Lane
Wesley Chapel, FL 33543
Phone
(813) 803-2034
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Marian Gerges Ayoub, M.B.B.CH., PMHNP-BC
Title
Owner
Phone
(813) 808-1213

Specialties & licenses 1

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

Addresses

Primary practice location

32732 Pez Landing Lane
Wesley Chapel, FL 33543

Mailing address

32732 Pez Landing LN
Wesley Chapel, FL 33543-7259
Phone (813) 808-1213

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1548091184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32732 PEZ LANDING LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437259",
            "telephone_number": "813-808-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32732 PEZ LANDING LANE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-803-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYOUB MENTAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "GERGES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-808-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.B.B.CH., 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 Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.