Vista Behavioral Health, PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME98572 Issued in FL

Legal business name

VISTA BEHAVIORAL HEALTH, PLLC

Practice address

2718 Letap CT Unit 101
Land O Lakes, FL 34638-7266

Phone

(813) 475-4196

Fax

(813) 475-4794

NPI assigned

Nov 5, 2014

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muhammad Ali, MDNPI 1013098169

Title

President

Phone

(813) 390-7586

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Muhammad A. Ali, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tampa, FL
  • NPI 1013098169
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1558767376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 CAYMAN ISLE CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473372",
            "telephone_number": "813-390-7586",
            "fax_number": "813-475-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 LETAP CT UNIT 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387266",
            "telephone_number": "813-475-4196",
            "fax_number": "813-475-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-390-7586",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME98572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001476800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Vicente
• Doreen Michele Villanueva, DNP
• Melody Villanueva, BSN, RN
• Andrew Anthony Villapiano, LCSW
• Virtual Rehab RX, LLC
• Vitaly Levintov
• Ladislav Volicer, M.D.
• Samantha Ann Wagner, PHD
• Walgreen Co (Walgreens #06494)
• Walgreen Co (Walgreens #11246)

• Child & Adolescent Psychiatry Physician in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.