Organization Active NPI

Isra Saleh-Mohd, Psy.D.

  • Clinical Psychologist
  • Brandon, FL
National Provider Identifier
1659784775
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7588 Issued in FL
Legal business name
ISRA SALEH-MOHD, PSY.D.
Practice address
411 Lithia Pinecrest Rd
Brandon, FL 33511-6138
Phone
(813) 541-3372
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Isra Saleh-Mohd, PSY.D.
Title
Owner
Phone
(813) 541-3372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7588 FL Primary

Addresses

Primary practice location

411 Lithia Pinecrest Rd
Brandon, FL 33511-6138

Mailing address

1327 Garden Stone LN
Brandon, FL 33510-2654
Phone (813) 541-3372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1659784775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 GARDEN STONE LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102654",
            "telephone_number": "813-541-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116138",
            "telephone_number": "813-541-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRA SALEH-MOHD, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "SALEH-MOHD",
        "authorized_official_first_name": "ISRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-541-3372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.