Active NPI
Petronella Taku Bell, M.D
- Child & Adolescent Psychiatry Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME157646
- Practice address
- 1334 Timberlane Rd Ste 18
Tallahassee, FL 32312-1766 - Phone
- (850) 567-9707
- Fax
- (800) 692-0493
- NPI assigned
- Mar 29, 2012
- Last updated
- Sep 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME157646 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME157646 | FL | Primary |
Addresses
Primary practice location
1334 Timberlane Rd Ste 18
Tallahassee, FL 32312-1766
Mailing address
3425 Bannerman Rd Ste 105-217
Tallahassee, FL 32312-7062
Phone (850) 567-9707
Other names 1
- Dr. Petronella Taku Mbu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 W River Woods Pkwy
Glendale, WI 53212-1060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157646 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Current | Accepting new patients | |
| Tranquil Haven | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | General Practice | Current | Accepting new patients |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
3425 Bannerman Rd
Ste 105217
Tallahassee, FL 32312
Phone (850) 567-9707
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Fl 5
Appleton, WI 54915
Phone (920) 730-4950
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
General Practice
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Child & Adolescent Psychiatry Physician
- Tallahassee, FL
- NPI 1396541686
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1861768392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BANNERMAN RD STE 105-217",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323127062",
"telephone_number": "850-567-9707",
"fax_number": "800-962-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 TIMBERLANE RD STE 18",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121766",
"telephone_number": "850-567-9707",
"fax_number": "800-692-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "PETRONELLA",
"middle_name": "TAKU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME157646",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME157646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PETRONELLA",
"last_name": "MBU",
"middle_name": "TAKU",
"prefix": "DR.",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.