Active NPI
Dr. Maryam Behdarvandi
- Adult Mental Health Clinic/Center
- Tampa, FL
National Provider Identifier
1982089561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- PY6701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY6701 | Other | FL | LICENSED PSYCHOLOGIST |
National Provider Directory
National Provider DirectoryNPI 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": []
}
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- Dr. Jeffrey T. Farrell, P.a.
- Dr. Joonies Examinavan
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- Dr. Sun Park Kuo
- Dr. Susan D. King & Associates, PA
- Dr. Victor Silva Medical Center , LLC
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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.