Organization Active NPI

Suncoast Neuropsychiatric Wellness Center LLC

  • Psychiatry Physician
  • Punta Gorda, FL
National Provider Identifier
1730689290
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUNCOAST NEUROPSYCHIATRIC WELLNESS CENTER LLC
Practice address
25097 E Olympia Ave
#200
Punta Gorda, FL 33950
Phone
(941) 655-8085
Fax
(941) 347-8218
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Laura F Tait, MD
Title
MD
Phone
(941) 655-8085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

25097 E Olympia Ave
#200
Punta Gorda, FL 33950

Mailing address

25097 E Olympia Ave
#200
Punta Gorda, FL 33950-3914
Phone (941) 655-8085

National Provider Directory

National Provider Directory

Locations

25097 Olympia Ave
Ste 200
Punta Gorda, FL 33950
Phone (941) 347-8447

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1730689290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 E OLYMPIA AVE",
            "address_2": "#200",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503914",
            "telephone_number": "941-655-8085",
            "fax_number": "941-347-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 E OLYMPIA AVE",
            "address_2": "#200",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950",
            "telephone_number": "941-655-8085",
            "fax_number": "941-347-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST NEUROPSYCHIATRIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "941-655-8085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.