Tarpon Psychiatric Center, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055877 Issued in FL

Legal business name

TARPON PSYCHIATRIC CENTER, P.A.

Practice address

1501 S Pinellas Ave
Suite K
Tarpon Springs, FL 34689-1955

Phone

(727) 938-0714

Fax

(727) 938-9513

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irene Andrea Nickolakis, M.D.NPI 1518002278

Title

President

Phone

(727) 938-0714

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Irene Andrea Nickolakis, M.D.

  • Psychiatry Physician
  • Tarpon Springs, FL
  • NPI 1518002278

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730224403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE",
            "address_2": "SUITE K",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-938-0714",
            "fax_number": "727-938-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE",
            "address_2": "SUITE K",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-938-0714",
            "fax_number": "727-938-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARPON PSYCHIATRIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKOLAKIS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-938-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Emergency Physicians LLC
• Tampa Options for Psychiatric Services,Inc.
• Tampa Telemedicine Limited Liability Company
• Dean Tanzer
• Tarpon Helpers, LLC
• Tarpon Rehabilitation Center, LLC
• Tarpon Spine Center and Medical Center, LLC
• Tarpon Spine Center, Inc
• Tarpon Springs Assisted Living of Walton Place
• Tarpon Springs Dialysis LLC

• All providers in Tarpon Springs, FL
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.