Active NPI
Center for Child and Adult Psychiatry LLC
- Child & Adolescent Psychiatry Physician
- Tampa, FL
National Provider Identifier
1861950420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- CENTER FOR CHILD AND ADULT PSYCHIATRY LLC
- Practice address
- 2909 W Bay to Bay Blvd Ste 210
Tampa, FL 33629-8100 - Phone
- (813) 995-1775
- NPI assigned
- Mar 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Thorkelson, MD
- Title
- President
- Phone
- (330) 632-0172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
2909 W Bay to Bay Blvd Ste 210
Tampa, FL 33629-8100
Mailing address
1911 Monongahela Ave Unit 82661
Pittsburgh, PA 15218-6616
Phone (330) 632-0173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295225597 | Other | NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM |
National Provider Directory
National Provider DirectoryLocations
2909 W Bay To Bay Blvd
Ste 210
Tampa, FL 33629
Phone (813) 732-9579
1911 Monongahela Ave
Unit 82661
Pittsburgh, PA 15218
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Tampa, FL
- NPI 1356572119
-
- Medical Physician Assistant
- Tampa, FL
- NPI 1063715092
-
- Physician Assistant
- Tampa, FL
- NPI 1891167383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551571200000",
"number": "1861950420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MONONGAHELA AVE UNIT 82661",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152186616",
"telephone_number": "330-632-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 W BAY TO BAY BLVD STE 210",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298100",
"telephone_number": "813-995-1775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR CHILD AND ADULT PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-03",
"last_updated": "2019-03-03",
"status": "A",
"authorized_official_last_name": "THORKELSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-632-0172",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
"identifier": "1295225597",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Gabriel Paul Cenedella, MD
- Frank P Cenicola
- Barbara Ann Centeno, M.D.
- Sagan Centeno
- Center for Assistance Services
- Center for Dermatology and Skin Surgery Inc
- Center for Integrated Counseling & Neuropsychology
- Center for Internal Medicine Inc Temple Terrace
- Center for Neurological Surgery America
- Center for Nutrition Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.