Organization Active NPI

Jeffrey T Beams, D.O., P.a.

  • Psychiatry Physician
  • Temple Terrace, FL
National Provider Identifier
1972908994
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS7230 Issued in FL
Legal business name
JEFFREY T BEAMS, D.O., P.A.
Practice address
10929 N 56TH St
Temple Terrace, FL 33617-3000
Phone
(813) 513-3095
Fax
(913) 513-3097
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Jeffrey Thomas Beams, D.O.
Title
Owner
Phone
(813) 513-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X OS7230 FL Primary

Addresses

Primary practice location

10929 N 56TH St
Temple Terrace, FL 33617-3000

Mailing address

10929 N 56TH St
Temple Terrace, FL 33617-3000
Phone (813) 513-3095

Other identifiers 1

IdentifierTypeStateIssuer
255455100MedicaidFL

National Provider Directory

National Provider Directory

Locations

10929 N 56th St
Temple Terrace, FL 33617
Phone (813) 513-3095

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1972908994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173000",
            "telephone_number": "813-513-3095",
            "fax_number": "913-513-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173000",
            "telephone_number": "813-513-3095",
            "fax_number": "913-513-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY T BEAMS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "BEAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-513-3095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS7230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255455100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.