Organization Active NPI

Isoma Psychological Services, LLC

  • Psychologist
  • Riverview, FL
National Provider Identifier
1821565276
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ISOMA PSYCHOLOGICAL SERVICES, LLC
Doing business as
Harbor Psychology
Practice address
10863 Boyette Rd
Riverview, FL 33569-8012
Phone
(813) 531-9433
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Dr. Zachary Isoma, PSYD
Title
Licensed Psychologist
Phone
(813) 531-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10863 Boyette Rd
Riverview, FL 33569-8012

Mailing address

10863 Boyette Rd
Riverview, FL 33569-8012
Phone (813) 531-9433

Other names 1

  • Harbor Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

10732 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 531-9433

10863 Boyette Rd
Riverview, FL 33569
Phone (813) 444-8760

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1821565276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10863 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698012",
            "telephone_number": "813-531-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10863 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335698012",
            "telephone_number": "813-531-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISOMA PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "ISOMA",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-531-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.