VISTA BEHAVIORAL HEALTH PLLC NPI 1558767376

NPI Information

  • NPI: 1558767376
  • Provider Name: VISTA BEHAVIORAL HEALTH, PLLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 2718 LETAP CT UNIT 101
    LAND O LAKES, FL
    ZIP 34638
  • Phone: (813) 475-4196

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NPI Details

VISTA BEHAVIORAL HEALTH, PLLC is a child and adolescent psychiatry psychiatry neurology in Land O Lakes, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. VISTA BEHAVIORAL HEALTH, PLLC NPI is 1558767376. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2718 LETAP CT UNIT 101
LAND O LAKES, FL
ZIP 34638-266
Phone: (813) 475-4196
Fax: (813) 475-4794

The provider's authorized official is Muhammad Ali .
The authorized official title is President and has the following contact phone number (813) 390-7586.

The enumeration date for this NPI number is 11/5/2014 and was last updated on 5/19/2020.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME98572FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001476800MEDICAIDFLORIDA

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: 3/30/2025

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