Tampa Bay Mental Health, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TAMPA BAY MENTAL HEALTH, LLC

Practice address

3105 W Waters Ave Ste 102
Tampa, FL 33614-2869

Phone

(813) 269-2920

Fax

(813) 269-2921

NPI assigned

Feb 19, 2021

Last updated

Nov 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alain Santos Perez

Title

Owner

Phone

(813) 269-2920

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yanet Fernandez Diaz, PMHNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1215653589
  Medicare reassignment Care Compare group NPD
• Orlando L Ruano, DO

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1013021138
  Medicare reassignment Care Compare group NPD
• Idelis Fedeslinda Arias de la Torre

  • Primary Care Nurse Practitioner
  • Tampa, FL
  • NPI 1871202911
  Medicare reassignment NPD
• Joseph Grimaldi, PH.D.

  • Psychologist
  • Tampa, FL
  • NPI 1902018419
  Medicare reassignment NPD
• Stefanny Molina Mesa, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1851909212
  Medicare reassignment NPD
• Alexeis Menendez Suarez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1871467050

  Single Specialty

  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1710570734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 W Waters Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142873",
            "country_code": "US",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA BAY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "SANTOS PEREZ",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-269-2920"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109622101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109622100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.