Achieve Wellness Group LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7601 Issued in FL

Legal business name

ACHIEVE WELLNESS GROUP LLC

Practice address

550 N Reo St Ste 300
Tampa, FL 33609-1037

Phone

(813) 261-5004

Fax

(813) 261-5008

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Iannelli Correa, PSYD MBA

Title

President

Phone

(813) 261-5004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1932353695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091037",
            "telephone_number": "813-261-5004",
            "fax_number": "813-261-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N REO ST STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091037",
            "telephone_number": "813-261-5004",
            "fax_number": "813-261-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "IANNELLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-261-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD  MBA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vedant Acharya, MD
• Kimberly Acheson, LCSW
• Achieve Behavior Partners LLC
• Achieve Management, Inc
• Achieve Wellness Group LLC
• Dwight Mark Achong, M.D.
• Marile Achoy Bernal
• Marjorie Lynn Acierno, ARNP
• Acina Medical Centers PLLC
• Michael Ackerman-Pondexter

• All providers in Tampa, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.