Individual provider Active NPI

Reena Anish Zachariah, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1861626939
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME130914 Issued in FL
Practice address
5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Phone
(813) 922-2274
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME130914 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME130914 FL Primary

Addresses

Primary practice location

5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457

Mailing address

5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Phone (813) 922-2274

Other names 1

  • Dr. Reena Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130914FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raz Minds PLLC Psychiatry Current Accepting new patients
Pediatric Physician Services, Inc. Child & Adolescent Psychiatry Past Accepting new patients

Locations

5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1861626939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 W KENNEDY BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092457",
            "telephone_number": "813-922-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 W KENNEDY BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092457",
            "telephone_number": "813-922-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "REENA",
        "middle_name": "ANISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME130914",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME130914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENA",
            "last_name": "THOMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.