Tampa Bay Psychiatric Services PL

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME104526 Issued in FL

Legal business name

TAMPA BAY PSYCHIATRIC SERVICES PL

Practice address

5664 Marquesas Cir
Sarasota, FL 34233-3331

Phone

(941) 527-0159

Fax

(813) 464-7682

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Joanna Wanda Gluszak

Title

Practice Manager

Phone

(813) 699-4020

Specialties & licenses 2

Addresses

Tax ID family

Tampa Bay Psychiatric Services PL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tampa Bay Psychiatric Services PL

  • Psychiatry Physician
  • Wesley Chapel, FL
  • NPI 1245605468
  NPD tax ID

Locations

Practitioners 1

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

• Boguslaw Gluszak, M.D.

  • Psychiatry Physician
  • Bolivar, MO
  • NPI 1689632994
  NPD

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1891150488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 LAKEWOOD RANCH BLVD",
            "address_2": "NO. 255",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114906",
            "telephone_number": "941-527-0159",
            "fax_number": "813-464-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333331",
            "telephone_number": "941-527-0159",
            "fax_number": "813-464-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342054957",
            "country_code": "US",
            "telephone_number": "941-527-0159",
            "fax_number": "813-464-7682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA BAY PSYCHIATRIC SERVICES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "GLUSZAK",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "WANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-699-4020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME104526",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME104526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Talluri, MD
• Thomas Tam Anh Doan, DMD
• Luis A. Tamara, M.D.
• Jonah Leslie Tambor, LPC
• Tammie Gursky Occupational Therapy PLC
• Tampa Bay Retina, PA
• Joseph F Tan, MD
• Tandem Health Care of Sarasota, Inc.
• Marianne Tandoc
• Linda Tandoh, MD

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.