Patterns Behavioral Services Florida, Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PATTERNS BEHAVIORAL SERVICES FLORIDA, INC

Practice address

12000 N Dale Mabry Hwy Ste 112
Tampa, FL 33618-3311

Phone

(813) 333-5024

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Ihab F Shahawi

Title

Ceo

Phone

(657) 206-9594

Specialties & licenses 5

Addresses

Other identifiers 1

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740777556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 E IMPERIAL HWY STE 203",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928211706",
            "telephone_number": "657-444-9002",
            "fax_number": "714-677-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 N DALE MABRY HWY STE 112",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183311",
            "telephone_number": "813-333-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERNS BEHAVIORAL SERVICES FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAHAWI",
        "authorized_official_first_name": "IHAB",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-206-9594"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022087100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anthony Nicholas Patrizz III, MD, PH.D.
• Alexandra Marie Patsalos, APRN
• Minda Lisa Patt, M.D.
• Beverly Patten, PT
• Amy E Patterson, MSN, APRN
• Chelsie Patterson
• Gwendolyn Marie Patterson, RT(R)
• James R Patterson, M.D.
• Jasmine Patterson, M.D.

• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.