TAMPA PALMS PSYCHOLOGY, LLC
NPI 1679242648
Clinic/Center - Adult Mental Health in Tampa, FL
About Tampa Palms Psychology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMPA PALMS PSYCHOLOGY, LLC (NPI 1679242648) is a healthcare organization registered as an adult mental health in Tampa, Florida and active in the NPI registry since September 2021. The organization lists Brian Andrew Wilson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tampa Palms Psychology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tampa Palms Psychology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tampa Palms Psychology, LLC's NPI number?
The NPI number for Tampa Palms Psychology, LLC is 1679242648. It was assigned to this organization in the NPPES registry on September 12, 2021.
Where is Tampa Palms Psychology, LLC located?
Tampa Palms Psychology, LLC is located at 16203 Hampton Trace Ct, Tampa, FL 33647. The listed phone number is (727) 239-5684.
What is Tampa Palms Psychology, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Tampa Palms Psychology, LLC enrolled in Medicare?
Yes. Tampa Palms Psychology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tampa Palms Psychology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tampa Palms Psychology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tampa Palms Psychology, LLC was last updated on September 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tampa Palms Psychology, Llc · NPI 1679242648
Adult Mental Health organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since September 12, 2021.
## Identity
- **NPI:** 1679242648 (Entity type: Organization)
- **Enumerated:** September 12, 2021
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Brian Wilson, OWNER
## Practice location
- **Address:** 16203 HAMPTON TRACE CT, Tampa, FL 33647-2745
- **Phone:** (727) 239-5684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679242648) · Data from the CMS NPPES public registry.