MATTHEW BRUCE WHITEHEAD
NPI 1205656964
Counselor - Mental Health in Tampa, FL

Active since October 16, 2024
1111 N WEST SHORE BLVD STE 213, TAMPA, FL 33607(850) 257-3122 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Bruce Whitehead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BRUCE WHITEHEAD (NPI 1205656964) is an individual mental health provider in Tampa, Florida, licensed in Florida (IMH26461) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1205656964
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW BRUCE WHITEHEAD
Location Address1111 N WEST SHORE BLVD STE 213Tampa, FL 33607-4711
Mailing Address2502 W Texas Ave Unit ATampa, FL 33629-6223 · (850) 257-3122
Sole ProprietorYes
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1205656964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH26461
1111 N WEST SHORE BLVD STE 213, Tampa, FL 33607

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1111 N WEST SHORE BLVD STE 213
TAMPA, FL 33607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Whitehead's NPI number?

The NPI number for Matthew Whitehead is 1205656964. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Matthew Whitehead located?

Matthew Whitehead practices at 1111 N West Shore Blvd Ste 213, Tampa, FL 33607. The listed phone number is (850) 257-3122.

What is Matthew Whitehead's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Matthew Whitehead was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.