NPIMap

Organization Active NPI

Child and Family Learning

  • Clinical Child & Adolescent Psychologist
  • Tampa, FL
National Provider Identifier
1992104111
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY4230 Issued in FL
Legal business name
CHILD AND FAMILY LEARNING
Practice address
312 E 7TH Ave
Tampa, FL 33602-2300
Phone
(813) 399-1625
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Diane Abby Koch, PH.D.NPI 1164576179
Title
Owner/Psychologist
Phone
(813) 399-1625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X PY4230 FL Primary

Addresses

Primary practice location

312 E 7TH Ave
Tampa, FL 33602-2300

Mailing address

312 E 7TH Ave
Tampa, FL 33602-2300
Phone (813) 399-1625

National Provider Directory

National Provider Directory

Locations

312 E 7th Ave
Tampa, FL 33602
Phone (813) 399-1625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1992104111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022300",
            "telephone_number": "813-399-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022300",
            "telephone_number": "813-399-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ABBY",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-399-1625",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY4230",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 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.