MEDICARE: PSYCH ME HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1942995782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCH ME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	2313 W ABDELLA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1603
Country	:	US
Telephone Number	:	813-400-2201
Fax Number	:	813-212-5230

Provider Business Practice Location Address
First Line	:	4311 W WATERS AVE STE 304B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1901
Country	:	US
Telephone Number	:	813-400-2201
Fax Number	:	813-212-5230

Authorized Official
Title or Position	:	CEO
Name	:	ISMARA HERNANDEZ CARRAZANA
Credential	:	APRN
Telephone Number	:	813-400-2201

Provider Enumeration Date	:	04/07/2023
Last Update Date	:	02/26/2025

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Directions to “PSYCH ME HEALTH SERVICES INC ” Practice Location

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