Ten Broeck Tennessee Physicians Group Inc

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

TEN BROECK TENNESSEE PHYSICIANS GROUP INC

Practice address

603 Main St
Windermere, FL 34786-3548

Phone

(407) 876-2200

Fax

(407) 876-5959

NPI assigned

Apr 18, 2014

Organization subpart

No

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

Authorized official

Name

Glenda F Guy

Title

Director, Compliance

Phone

(931) 607-6513

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ten Broeck Tennessee Physicians Group Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windermere, FL
  • NPI 1417559006
  NPPES parent name

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1639599582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MAIN ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863548",
            "telephone_number": "407-876-2200",
            "fax_number": "407-876-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MAIN ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863548",
            "telephone_number": "407-876-2200",
            "fax_number": "407-876-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN BROECK TENNESSEE PHYSICIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, COMPLIANCE",
        "authorized_official_telephone_number": "931-607-6513"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Tarragona
• Ramona Hunt Taylor, M.D.
• Raymond Michael Taylor, MD
• Stacy Ann Taylor
• Ten Broeck Tennessee Physicians Group Inc
• Ten X Health, LLC
• Rupal Thakkar, D.M.D.
• Yumna Thariani, M.D
• Andrea Ethel Thayer, MSN, APRN
• Heather Thayer, PT, DPT

• Behavioral Neurology & Neuropsychiatry Physician in Windermere, FL
• Providers in Windermere, FL by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.