Timothy Tribiano PHD PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6773 Issued in FL

Legal business name

TIMOTHY TRIBIANO PHD PA

Practice address

2401 W Bay Dr
BLDG 100 Ste 117
Largo, FL 33770-4900

Phone

(727) 776-1968

Fax

(727) 289-2301

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Tribiano, PHDNPI 1407874696

Title

Owner

Phone

(727) 776-1968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Timothy N Tribiano, PHD

  • Psychologist
  • Largo, FL
  • NPI 1407874696
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1851451744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BAY DR",
            "address_2": "BLDG 100 STE 117",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704900",
            "telephone_number": "727-776-1968",
            "fax_number": "727-289-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BAY DR",
            "address_2": "BLDG 100 STE 117",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704900",
            "telephone_number": "727-776-1968",
            "fax_number": "727-289-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY TRIBIANO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TRIBIANO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-776-1968",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Largo, FL
• Providers in Largo, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.