Rizalina Brusas Tan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0051356 Issued in FL

Practice address

1201 5TH Ave N Ste 305
St Petersburg, FL 33705-1425

Phone

(727) 327-3737

Fax

(727) 825-1377

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alina Gonzalez Mayo MD PA

  • Psychiatry Physician
  • St Petersburg, FL
  • NPI 1538372131
  NPD (past)
• Boley Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1194838839
  NPD (past)
• Donna K Dempsey Arnp PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1982889341
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548366131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051425",
            "telephone_number": "727-327-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N STE 305",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051425",
            "telephone_number": "727-327-3737",
            "fax_number": "727-825-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RIZALINA",
        "middle_name": "BRUSAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0051356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 0051356",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tampa General Medical Group Inc
• Tampa General Provider Network Inc
• Tampa Neuropsychiatry, LLC
• Tampa Recovery, LLC
• Tampa Sud Medical Group, LLC
• Nathan Tang, MD
• Randy Tang, MD
• Yingge Tang, NP
• Breck Alise Tanner
• Jonathan Corey Tanner

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.