Achieve Wellness Group LLC
Organization Active NPI Clinical Psychologist · Tampa, FL
NPI 1669619342 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1669619342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ACHIEVE WELLNESS GROUP LLC
- Practice address
- 13039 W Linebaugh Ave
Building V, Suite 101
Tampa, FL 33626-4483 - Phone
- (888) 531-1313
- Fax
- (888) 551-6035
- NPI assigned
- Jan 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa Iannelli Correa, PSYD
- Title
- President
- Phone
- (888) 531-1313
Practitioners 15
-
Kristi M Harrin, PSYD
-
Jeffrey Brian Walden, PSY.D.
-
Michelle Ayala-Feliciano, PSY.D.
-
Jessica Anne Deeb, LCSW
-
Suchithra Hirode, PH.D
-
Kenya Latonya King, PHD
-
Sabrina M Martin, PSYD
-
Henry R. Rivera Jr., ACNP, AOCNP
-
Jesse H Rodriguez, ARNP
-
Darlene Williams, PHD
-
Jacqueline A. Bartlett, M.D.
-
Paula K Reilley, PHD FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090318000249 | FL | Part B Supplier - Clinic/Group Practice | 7113084187 |
Receives reassigned benefits from 15 practitioners Practice locations: Spring Hill, FL; Tampa, FL |
National Provider Directory
Locations
7020 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 515-6914
13039 W Linebaugh Ave
Bldg V
Tampa, FL 33626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
13039 W Linebaugh Ave
Building V, Suite 101
Tampa, FL 33626-4483
Mailing address
13039 W Linebaugh Ave
Building V, Suite 101
Tampa, FL 33626-4483
Phone (888) 531-1313
Other providers in Tampa, FL
- Sonia Acevedo
- Vedant Acharya
- Kimberly Acheson
- Achieve Behavior Partners LLC
- Achieve Management, Inc
- Achieve Wellness Group LLC
- Dwight Mark Achong
- Marile Achoy Bernal
- Marjorie Lynn Acierno
- Acina Medical Centers PLLC
All providers in Tampa, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.