Tampa Bay Neurocognitive Institute PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TAMPA BAY NEUROCOGNITIVE INSTITUTE PLLC

Doing business as

Tampa Bay Neurocognitive Institute

Practice address

501 S Lincoln Ave Ste 26
Clearwater, FL 33756-5964

Phone

(727) 498-0808

Fax

(727) 477-8303

NPI assigned

Jul 11, 2024

Last updated

Nov 12, 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

Somphanh Tynoi KhousakounNPI 1205279759

Title

Ceo

Phone

(727) 498-0808

Specialties & licenses 1

Addresses

Other names 1

• Tampa Bay Neurocognitive Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIEDD

Practitioners 2

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.

• Somphanh Tynoi Khousakoun, D.O.

  • Neurology Physician
  • Clearwater, FL
  • NPI 1205279759
  Medicare reassignment Care Compare group NPD Authorized official
• Anousone Karen Khamphoumy, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1467348656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1730926304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE STE 26",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565964",
            "telephone_number": "727-498-0808",
            "fax_number": "727-477-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE STE 26",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565964",
            "telephone_number": "727-498-0808",
            "fax_number": "727-477-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY NEUROCOGNITIVE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "KHOUSAKOUN",
        "authorized_official_first_name": "SOMPHANH",
        "authorized_official_middle_name": "TYNOI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-498-0808"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Neurocognitive Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tampa Bay Neurocognitive Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nishin S Tambay, MD
• Agostina Tambucho
• Mark Robert Tamburrino, L.AC.
• Tampa Bay Brace and Limb Inc (Clearwater Limb & Brace)
• Tampa Bay Joint and Spine, LLC (Tampa Bay Joint and Spine Surgery Center)
• Tampa Bay Ophthalmic Plastics LLC
• Tampa Bay Optometric Group PA
• Tampa Bay Orthopaedic & Spine, LLC
• Tampa Bay Psychology Associates
• Tampa Bay Uveitis Center

• Neurology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.