Organization Active NPI

Tampa Bay Medical Mental & Behavioral Health Services Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1689287351
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TAMPA BAY MEDICAL MENTAL & BEHAVIORAL HEALTH SERVICES INC
Practice address
8910 N Dale Mabry Hwy Ste 17
Tampa, FL 33614-1580
Phone
(813) 485-8190
Fax
(813) 463-7975
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Dr. Donald Lee Pippin
Title
Ceo
Phone
(813) 485-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8910 N Dale Mabry Hwy Ste 17
Tampa, FL 33614-1580

Mailing address

8910 N Dale Mabry Hwy Ste 17
Tampa, FL 33614-1580
Phone (813) 485-8190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1689287351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY STE 17",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141580",
            "telephone_number": "813-485-8190",
            "fax_number": "813-463-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY STE 17",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141580",
            "telephone_number": "813-485-8190",
            "fax_number": "813-463-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY MEDICAL MENTAL & BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-485-8190",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Aug 24, 2020; 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.