MEDICARE: STEADYMIND PSYCHIATRY, LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1396602157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEADYMIND PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	1012 GUILES RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-7636
Country	:	US
Telephone Number	:	813-534-5584
Fax Number	:	813-537-1031

Provider Business Practice Location Address
First Line	:	2919 W IDLEWILD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6030
Country	:	US
Telephone Number	:	813-534-5584
Fax Number	:	813-537-1031

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ALEXEIS MENENDEZ SUAREZ
Credential	:	PMHNP
Telephone Number	:	813-966-9522

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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