IBIS HEALTHCARE INC
NPI 1124315296
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tampa, FL

NPI Status: Active since July 08, 2011

Contact Information

2215 E HENRY AVE
TAMPA, FL
ZIP 33610
Phone: (813) 239-8069
Fax: (813) 272-3766

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 10D2261012
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-24-2026

About IBIS HEALTHCARE INC

This page provides the complete NPI Profile along with additional information for Ibis Healthcare Inc, a provider established in Tampa, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1124315296 assigned on July 2011. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Roaya Tyson (Ceo)

NPI
1124315296
Provider Legal Name
IBIS HEALTHCARE INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2215 E HENRY AVE TAMPA, FL 33610
Location Phone
(813) 239-8069
Location Fax
(813) 272-3766
Mailing Address
5707 N 22ND ST TAMPA, FL 33610
Mailing Phone
(813) 239-8069
Mailing Fax
(813) 272-3766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2011
Last Update Date
03-27-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROAYA TYSON

Authorized Official Title
CEO
Authorized Official Phone
(813) 239-8088

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2261012
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 25, 2024
Certificate Expiration Date
May 24, 2026
Laboratory Director
ROAYA TYSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ibis Healthcare Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124315296, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 1 + 1 + 0 + 2 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124315296.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Developmental Therapist
2215 E HENRY AVE
TAMPA, FL 33610
Registered Nurse
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Specialist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Speech-Language Pathologist
2215 E HENRY AVE
TAMPA, FL 33610
Early Intervention Provider Agency
2215 E HENRY AVE
TAMPA, FL 33610
Rehabilitation Hospital (Children)
2215 E HENRY AVE
TAMPA, FL 33610

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124315296, enumerated as an "organization" on July 08, 2011.

The provider is located at 2215 E HENRY AVE TAMPA, FL 33610 and the phone number is (813) 239-8069.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).