Organization Active NPI

Dr. Maryam Behdarvandi

  • Adult Mental Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1982089561
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PY6701 Issued in FL
Legal business name
DR. MARYAM BEHDARVANDI
Practice address
2908 W Waters Ave Ste 101
Tampa, FL 33614-1874
Phone
(813) 340-0901
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Dr. Maryam Behdarvandi, PHD
Title
Provider
Phone
(813) 340-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PY6701 FL Primary

Addresses

Primary practice location

2908 W Waters Ave Ste 101
Tampa, FL 33614-1874

Mailing address

5005 Derry Way
Tampa, FL 33647-1091
Phone (813) 340-0901

Other identifiers 1

IdentifierTypeStateIssuer
PY6701OtherFLLICENSED PSYCHOLOGIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1982089561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 DERRY WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471091",
            "telephone_number": "813-340-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 W WATERS AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141874",
            "telephone_number": "813-340-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARYAM BEHDARVANDI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "BEHDARVANDI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "813-340-0901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY6701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "PY6701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.