Individual provider Active NPI

Andrea Christine Thatcher, PSYCHOLOGIST

  • Psychologist
  • Riverview, FL
National Provider Identifier
1639508807
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8912 Issued in FL
Practice address
10021 Water Works LN
Riverview, FL 33578-5304
Phone
(813) 677-6444
Fax
(813) 677-7999
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8912 FL Primary

Addresses

Primary practice location

10021 Water Works LN
Riverview, FL 33578-5304

Mailing address

10021 Water Works LN
Riverview, FL 33578-5304
Phone (813) 677-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140410000253 FL Practitioner - Clinical Psychologist 5092947812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

5 Tampa General Cir
Tampa, FL 33606-3601
Phone (813) 844-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8912FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Sep 20, 2025 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Sep 20, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

5 Tampa General Cir
Tampa, FL 33606
Phone (813) 251-0793

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: athatcher365007@direct.tgh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1639508807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-677-6444",
            "fax_number": "813-677-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 WATER WORKS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785304",
            "telephone_number": "813-677-6444",
            "fax_number": "813-677-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "ANDREA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.