NPIMap

Organization Active NPI

Upshaw TMS LLC

Doing business as NeuroSpa

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1629560545
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
UPSHAW TMS LLC
Doing business as
NeuroSpa
Practice address
6511 Gunn Hwy
Tampa, FL 33625-4021
Phone
(813) 731-5807
NPI assigned
Jun 6, 2018
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Ms. Tami J Brochman
Title
Dir of HR, Compliance & Corp Admin
Phone
(813) 605-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Community/Behavioral Health Agency 251S00000X ME96275 FL

Addresses

Primary practice location

6511 Gunn Hwy
Tampa, FL 33625-4021

Mailing address

6511 Gunn Hwy
Tampa, FL 33625-4021

Other identifiers 1

IdentifierTypeStateIssuer
ME96275OtherFLMEDICAL LICENSE

Other names 1

  • NeuroSpa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190117000340 FL Part B Supplier - Clinic/Group Practice 3678819349 Receives reassigned benefits from 18 practitioners
Practice locations: Tampa, FL; Wesley Chapel, FL; Pinellas Park, FL; Lakeland, FL; Lakewood Ranch, FL; Brandon, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2331023Upshaw TMS LLC6511 Gunn Hwy, Tampa, FL 33625Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

1170 Nikki View Dr
Brandon, FL 33511
Phone (813) 605-1122

9015 Town Center Pkwy
Unit 109
Lakewood Ranch, FL 34202
Phone (813) 605-1122

4830 W Kennedy Blvd
Ste 130
Tampa, FL 33609
Phone (813) 519-5363

230 Benmore Dr
Winter Park, FL 32792
Phone (407) 469-5050

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1629560545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-731-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSHAW TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BROCHMAN",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIR OF HR, COMPLIANCE &  CORP ADMIN",
        "authorized_official_telephone_number": "813-605-1122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ME96275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96275",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroSpa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.