PSYCHE MEDICAL GROUP PLLC NPI 1902673155

NPI Information

  • NPI: 1902673155
  • Provider Name: PSYCHE MEDICAL GROUP PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 501 E KENNEDY BLVD FL 14
    TAMPA, FL
    ZIP 33602
  • Phone: (833) 877-9243

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NPI Details

PSYCHE MEDICAL GROUP PLLC is a mental health counselor in Tampa, FL. PSYCHE MEDICAL GROUP PLLC NPI is 1902673155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

501 E KENNEDY BLVD FL 14
TAMPA, FL
ZIP 33602-237
Phone: (833) 877-9243
Fax: (833) 877-9243

The provider's authorized official is Benjamin Orlando Klass .
The authorized official title is Manager and has the following contact phone number (833) 877-9243.

The enumeration date for this NPI number is 12/7/2023 and was last updated on 12/7/2023.

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
1101Y00000XCounselorNo
2102L00000XPsychoanalystNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4251S00000XCommunity/Behavioral HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8101YM0800XCounselorMental 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: 3/30/2025

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