NPIMap

Organization Active NPI

Tandem Behavioral Health & Wellness

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1649649989
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1653 Issued in FL
Legal business name
TANDEM BEHAVIORAL HEALTH & WELLNESS
Practice address
13807 Shady Shores Dr
Tampa, FL 33613-4141
Phone
(813) 388-1051
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Timothy M Weil, PH.D.NPI 1962727800
Title
Owner/Clinical Director
Phone
(813) 388-1051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-04-1653 FL Primary

Addresses

Primary practice location

13807 Shady Shores Dr
Tampa, FL 33613-4141

Mailing address

13807 Shady Shores Dr
Tampa, FL 33613-4141
Phone (813) 388-1051

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1649649989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 SHADY SHORES DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134141",
            "telephone_number": "813-388-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 SHADY SHORES DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134141",
            "telephone_number": "813-388-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM BEHAVIORAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "813-388-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 16, 2015; 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.