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DISCOVERY PRACTICE MANAGEMENT INC. NPI 1376207456


NPI Information

NPI: 1376207456
Provider Name: DISCOVERY PRACTICE MANAGEMENT, INC.

Doing Business As: DISCOVERY MOOD & ANXIETY PROGRAM, TAMPA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
3709 W JETTON AVE STE 102
TAMPA, FL
ZIP 33629
Phone: (714) 828-1800
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DISCOVERY PRACTICE MANAGEMENT, INC. is an adolescent and children mental health clinic center in Tampa, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. DISCOVERY PRACTICE MANAGEMENT, INC. NPI is 1376207456. The provider is registered as an organization entity type.
The provider Is Doing Business As Discovery Mood & Anxiety Program, Tampa.

The provider's business location address is:

3709 W JETTON AVE STE 102
TAMPA, FL
ZIP 33629-116
Phone: (714) 828-1800
Fax: (714) 882-1186

The provider's authorized official is Magdalen Gustilo .
The authorized official title is Director Of Payer Relations and has the following contact phone number (714) 568-7667.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 5/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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