Healthcare Provider Details

I. General information

NPI: 1942995782
Provider Name (Legal Business Name): PSYCH ME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4311 W WATERS AVE STE 304B
TAMPA FL
33614-1901
US

IV. Provider business mailing address

2313 W ABDELLA ST
TAMPA FL
33607-1603
US

V. Phone/Fax

Practice location:
  • Phone: 813-400-2201
  • Fax: 813-212-5230
Mailing address:
  • Phone: 813-400-2201
  • Fax: 813-212-5230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: ISMARA HERNANDEZ CARRAZANA
Title or Position: PROVIDER
Credential: PMHNP
Phone: 813-462-2595