Pioneer Psychiatry Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PIONEER PSYCHIATRY SERVICES LLC

Doing business as

Pioneer Psychiatry Services LLC

Practice address

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Phone

(813) 779-6303

NPI assigned

May 13, 2019

Last updated

Nov 13, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PIONEER MEDICAL GROUP, PLAs reported in NPPES

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

Authorized official

Name

Syed Irfan Ali, MDNPI 1801905898

Title

President

Phone

(813) 779-6303

Specialties & licenses 6

Addresses

Other names 1

• Pioneer Psychiatry Services LLC Doing business as

Part of

Pioneer Medical Group PL

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pioneer Medical Group, PL

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1710315775
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Irfan Ali, MD

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1801905898
  NPD Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1912563222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370926",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIONEER PSYCHIATRY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER MEDICAL GROUP, PL",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IRFAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-779-6303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Psychiatry Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Psychiatry Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse William Ping, M.D.
• Tamara Pinkard
• Pinnacle Chiropractic Care LLC (Hoffman Chiropractic Centre)
• Pioneer Medical Group, PL
• Pioneer Monongalia Medical Group PLLC
• Sandra Pizzurro, APRN
• Arellys Damiana Plaza Cedeno
• Nicole R Ploger, PA
• Mauricio Polanco, PA
• Joseph Jo-Yee Poon, MD

• Psychiatry Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.