Provider Demographics
NPI:1942995782
Name:PSYCH ME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PSYCH ME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ CARRAZANA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:813-400-2201
Mailing Address - Street 1:2313 W ABDELLA ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1603
Mailing Address - Country:US
Mailing Address - Phone:813-400-2201
Mailing Address - Fax:813-212-5230
Practice Address - Street 1:4311 W WATERS AVE STE 304B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1901
Practice Address - Country:US
Practice Address - Phone:813-400-2201
Practice Address - Fax:813-212-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty