Tampa Bay Community Mental Health Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TAMPA BAY COMMUNITY MENTAL HEALTH SERVICES INC

Practice address

12421 N Florida Ave Ste 201
Tampa, FL 33612-4277

Phone

(813) 930-0999

Fax

(813) 433-5626

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Yadira Peguero Marin

Title

President

Phone

(813) 930-0999

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Yadira Peguero

  • Home Health Aide
  • Tampa, FL
  • NPI 1598355323
  NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1851973523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 N FLORIDA AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124277",
            "telephone_number": "813-930-0999",
            "fax_number": "813-433-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 N FLORIDA AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124277",
            "telephone_number": "813-930-0999",
            "fax_number": "813-433-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY COMMUNITY MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "PEGUERO MARIN",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-930-0999"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tampa Bay Concierge Doctor, LLC
• Tampa Bay Counseling Associates Inc
• Tampa Bay Counseling Services, LLC
• Tampa Bay Direct Care LLC
• Tampa Bay Emergency Physicians LLC

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.