Neurobehavioral Medicine LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEUROBEHAVIORAL MEDICINE LLC

Practice address

613 W Dr Martin Luther King Jr Blvd Ste 104
Tampa, FL 33603-3400

Phone

(813) 587-9911

Fax

(833) 905-0111

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Pragnesh P Patel, MDNPI 1104141423

Title

Owner

Phone

(215) 863-1653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Pragnesh P Patel, MD

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1104141423
  Medicare reassignment NPD Authorized official
• Michele Creamer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1740782010
  Medicare reassignment NPD
• Kumar Jairamdas, DNP,ARNP,FNP-C,ENP-C

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1154725778
  Medicare reassignment NPD
• Dipal V Patel, RPH

  • Pharmacist
  • Tampa, FL
  • NPI 1386913812
  NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1780130773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271894",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336881894",
            "telephone_number": "215-863-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W DR MARTIN LUTHER KING JR BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033400",
            "telephone_number": "813-587-9911",
            "fax_number": "833-905-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBEHAVIORAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAGNESH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-863-1653",
        "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": []
}

• Michael Neuhaus, PHARM.D.
• Ryan Arthur Neuhaus, M.D.
• Rita Neumann, DOM, AP
• Neuro-Rehab Psychology Group of Tampa, LLC
• Neurobehavioral Clinic LLC
• Neurocog Testing Inc
• Neurodivergent Counseling Collective
• Neurodx LLC
• Neurologic Care Center, P.a.
• Neurological Pain & Rehabilitation Institute LLC

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.