DISCOVERY PRACTICE MANAGEMENT INC. NPI 1376207456

NPI Information

NPI: 1376207456
Provider Name: DISCOVERY PRACTICE MANAGEMENT, INC.
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Doing Business As: DISCOVERY MOOD & ANXIETY PROGRAM, TAMPA
Address: 3709 W JETTON AVE STE 102
TAMPA, FL
ZIP 33629
Phone: (714) 828-1800

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NPI Details

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 1/16/2025.

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	Primary
1	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes

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: 11/21/2025

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