PEDIATRIC NEUROCARE INSTITUTE LLC
NPI 1467206524
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Oldsmar, FL

Active since April 15, 2024
170 PINE AVE N, OLDSMAR, FL 34677(480) 652-2110 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2024, Jun 20, 2024, Apr 15, 2024 (3 updates tracked since 2024).

  • Organization
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...

About PEDIATRIC NEUROCARE INSTITUTE LLC

This page provides the complete NPI Profile along with additional information for Pediatric Neurocare Institute Llc, a provider established in Oldsmar, Florida operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1467206524 assigned on April 2024. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Himali Jayakody Md (Pediatric Neurologist/ Ceo)

NPI
1467206524 Verify this NPI
Provider Name
PEDIATRIC NEUROCARE INSTITUTE LLC
Entity Type
Organization
Location Address
170 PINE AVE N OLDSMAR, FL 34677
Location Phone
(480) 652-2110
Mailing Address
PO BOX 320304 TAMPA, FL 33679
Mailing Phone
(813) 553-4448
Mailing Fax
(813) 525-9696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2024
Last Update Date
08-03-2024
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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

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. HIMALI JAYAKODY MD

Authorized Official Title
PEDIATRIC NEUROLOGIST/ CEO
Authorized Official Phone
(813) 553-4448

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
170 PINE AVE N
OLDSMAR, FL 34677
Nurse Practitioner (Pediatrics)
170 PINE AVE N
OLDSMAR, FL 34677

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467206524, enumerated as an "organization" on April 15, 2024.

The provider is located at 170 PINE AVE N OLDSMAR, FL 34677 and the phone number is (480) 652-2110.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.