Wingate de Academy

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

WINGATE DE ACADEMY

Practice address

2780 E Fowler Ave # 174
Tampa, FL 33612-6297

Phone

(813) 359-9569

Fax

(813) 671-8825

NPI assigned

Sep 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Qetsiyah S Yisrae, PHD

Title

Non License Counselor

Phone

(813) 693-9449

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1871077826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 174",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-359-9569",
            "fax_number": "813-671-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 174",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-359-9569",
            "fax_number": "813-671-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE DE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "YISRAE",
        "authorized_official_first_name": "QETSIYAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NON LICENSE COUNSELOR",
        "authorized_official_telephone_number": "813-693-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Pacetti Winesett, MD
• Dakayah Winfield, RBT
• Alyson Winfrey, PSY.D.
• Tatiana Elaina Wing
• Tami Wingard, CRNA
• Mackenzie Elise Winger
• Sabrina Wingert
• Jamirah Wingfield
• Latoya Dicole Wingfield
• Julie Winkeler Paszek, PT

• Pastoral Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.