Active NPI
South Tampa Psychiatry
- Psychiatry Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SOUTH TAMPA PSYCHIATRY
- Practice address
- 2919 W Swann Ave Ste 104
Tampa, FL 33609-4049 - Phone
- (813) 600-7929
- NPI assigned
- Jan 3, 2019
- Last updated
- Jan 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Harden, CAP, CCJAP, LMHC
- Title
- Ceo / Clinical Supervisor
- Phone
- (813) 600-7929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
2919 W Swann Ave Ste 104
Tampa, FL 33609-4049
Mailing address
2919 W Swann Ave Ste 104
Tampa, FL 33609-4049
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2173584 | South Tampa Psychiatry LLC | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
2919 W Swann Ave
Ste 104
Tampa, FL 33609
Phone (813) 600-7929
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1871990820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1730652645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094049",
"telephone_number": "813-600-7929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TAMPA PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "HARDEN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CEO / CLINICAL SUPERVISOR",
"authorized_official_telephone_number": "813-600-7929",
"authorized_official_credential": "CAP, CCJAP, LMHC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- South Tampa Holdings, LLC
- South Tampa Imaging Associates PA
- South Tampa Klynergy Massage & Wellness
- South Tampa Medical Associates Inc
- South Tampa Private Therapy, LLC
- South Tampa Psychotherapy LLC
- South Tampa Surgery Center, LLC.
- South Tampa Surgical PLLC
- South Tampa Therapy and Wellness Inc
- South Tampa Voice Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.