Provider Demographics
NPI:1487031084
Name:TAMPA BAY PSYCHIATRY & SLEEP DISORDERS, PLLC
Entity Type:Organization
Organization Name:TAMPA BAY PSYCHIATRY & SLEEP DISORDERS, PLLC
Other - Org Name:TAMPA BAY PSYCHIATRY AND BEHAVIORAL NEUROSCIENCES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVI KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-482-1130
Mailing Address - Street 1:4786 KYLEMORE CT
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-2648
Mailing Address - Country:US
Mailing Address - Phone:717-482-1130
Mailing Address - Fax:
Practice Address - Street 1:3531 LITTLE RD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1811
Practice Address - Country:US
Practice Address - Phone:717-482-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-03
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116125261Q00000X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center