Healthcare Provider Details

I. General information

NPI: 1245143270
Provider Name (Legal Business Name): OAK PSYCHOLOGY CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11708 NICKLAUS CIR
TAMPA FL
33624-4538
US

IV. Provider business mailing address

13014 N DALE MABRY HWY # 816
TAMPA FL
33618-2808
US

V. Phone/Fax

Practice location:
  • Phone: 813-441-3984
  • Fax: 813-761-2512
Mailing address:
  • Phone: 813-441-3984
  • Fax: 813-761-2512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MEGAN BARTHLE-HERRERA
Title or Position: PRESIDENT, LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 813-441-3984