Organization Active NPI

Instic Health LLC

  • Psychiatry Physician
  • Plant City, FL
National Provider Identifier
1811519234
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INSTIC HEALTH LLC
Practice address
105 N Alexander St Ste 105
Plant City, FL 33563-4831
Phone
(813) 755-7300
Fax
(833) 905-0111
NPI assigned
May 7, 2020
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. Siddharth V Patel, RPHNPI 1649540493
Title
Managing Member
Phone
(813) 755-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

105 N Alexander St Ste 105
Plant City, FL 33563-4831

Mailing address

105 N Alexander St Ste 105
Plant City, FL 33563-4831
Phone (813) 755-7300

Other practice location 1

613 W Dr Martin Luther King Jr Blvd Ste 104
Tampa, FL 33603-3400
Phone (813) 587-9911

Other practice location 2

214 S Apopka Ave
Inverness, FL 34452-4803
Phone (352) 508-7310

Other practice location 3

7617 Cita Ln Unit 101
New Port Richey, FL 34653-6216
Phone (727) 755-9300

Other identifiers 1

IdentifierTypeStateIssuer
111280000MedicaidFL

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL www.instic.health
CONNECT URL www.instic.health
CONNECT URL www.instic.health
CONNECT URL www.instic.health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408001837 FL Part B Supplier - Clinic/Group Practice 2365850468 Receives reassigned benefits from 15 practitioners
Practice locations: Tampa, FL; Plant City, FL; New Port Richey, FL; Inverness, FL

National Provider Directory

National Provider Directory

Locations

214 S Apopka Ave
Inverness, FL 34452
Phone (352) 508-7310

7617 Cita Ln
Unit 101
New Prt Rchy, FL 34653
Phone (352) 508-7310

105 N Alexander St
Ste 105
Plant City, FL 33563
Phone (813) 755-7300

613 W Dr Martin Luther King Jr Blvd
Ste 104
Tampa, FL 33603
Phone (813) 587-9911

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1811519234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ALEXANDER ST STE 105",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634831",
            "telephone_number": "813-755-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ALEXANDER ST STE 105",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634831",
            "telephone_number": "813-755-7300",
            "fax_number": "833-905-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 W Dr Martin Luther King Jr Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336033400",
            "country_code": "US",
            "telephone_number": "813-587-9911",
            "fax_number": "813-343-2512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 S Apopka Ave",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524803",
            "country_code": "US",
            "telephone_number": "352-508-7310",
            "fax_number": "833-905-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7617 Cita Ln Unit 101",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536216",
            "country_code": "US",
            "telephone_number": "727-755-9300",
            "fax_number": "833-905-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-755-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111280000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.instic.health",
            "affiliation": "N",
            "address_1": "105 N Alexander St Ste 105",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335634831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.instic.health",
            "affiliation": "N",
            "address_1": "613 W Dr Martin Luther King Jr Blvd Ste 104",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336033400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.instic.health",
            "affiliation": "N",
            "address_1": "214 S Apopka Ave",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344524803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.instic.health",
            "affiliation": "N",
            "address_1": "7617 Cita Ln Unit 101",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346536216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.