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DR. BALSAM FANOUS M.D.
NPI 1619024007
Psychiatry & Neurology - Psychiatry in Tampa, FL

Active since January 05, 2007
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 977-8700(813) 971-2029 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Balsam Fanous M.d. NPPES

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

DR. BALSAM FANOUS M.D. (NPI 1619024007) is an individual psychiatry provider in Tampa, Florida, licensed in Florida (ME41656) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619024007
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BALSAM FANOUSCredential: M.D.
Location Address12512 BRUCE B DOWNS BLVDTampa, FL 33612-9209
Mailing Address12512 Bruce B Downs BlvdTampa, FL 33612-9209 · (813) 977-8700 · Fax (813) 971-2029
Phone(813) 977-8700
Fax(813) 971-2029
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1619024007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME41656
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12512 BRUCE B DOWNS BLVD, Tampa, FL 33612
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Other Identifiers 2

Medicare UPIND85560FL
Medicare ID-Type Unspecified30607WFL · Medicare

Other Providers at the Same Location NPPES 20

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

MR. GARY A. VITACCO-ROBLES LMHC, NCC
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
KARLA DANIELA CALZADA MORALES M.D.
Psychiatry & Neurology (Psychiatry)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
CHERYL A HART
Social Worker
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
DELIA FUENTES
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 644-6386
NORTHSIDE MENTAL HEALTH CENTER
Community/Behavioral Health
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MRS. KATHRYN HOUSE FANNING A.R.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MR. ERIC BROTHERTON
Counselor (Mental Health)
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700
MRS. CAROLINE GARCIA B.A
Case Manager/Care Coordinator
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 977-8700

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 Balsam Fanous's NPI number?

The NPI number for Balsam Fanous is 1619024007. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Balsam Fanous located?

Balsam Fanous practices at 12512 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 977-8700.

What is Balsam Fanous's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Balsam Fanous was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.