TAMPA BAY MENTAL HEALTH, LLC
NPI 1710570734
Clinic/Center - Community Health in Tampa, FL

Active since February 19, 2021
3105 W WATERS AVE STE 102, TAMPA, FL 33614(813) 269-2920(813) 269-2921 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2025, Feb 27, 2025, Jun 19, 2024 and 3 more (6 updates tracked since 2021).

About Tampa Bay Mental Health, Llc NPPES

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

TAMPA BAY MENTAL HEALTH, LLC (NPI 1710570734) is a healthcare organization registered as a community health in Tampa, Florida and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Tampa and lists Alain Santos Perez, Owner, as its authorized official.

NPPES Registry Identity

NPI1710570734
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameTAMPA BAY MENTAL HEALTH, LLC
Location Address3105 W WATERS AVE STE 102Tampa, FL 33614-2869
Mailing Address3105 W Waters Ave Ste 102Tampa, FL 33614-2869 · (813) 269-2920 · Fax (813) 269-2921
Fax(813) 269-2921
Organization SubpartNo
Authorized OfficialAlain Santos PerezOwner · (813) 269-2920
Enumeration DateFebruary 19, 2021
Last NPPES UpdateNovember 5, 20256 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1710570734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
3105 W WATERS AVE STE 102, Tampa, FL 33614

Secondary Practice Location 1

Location 13105 W Waters Ave Ste 212Tampa, FL 33614-2873 · Phone (813) 269-2920 · Fax (813) 269-2921

Other Identifiers 2

Medicaid109622101FL
Medicaid109622100FL

Accepted Insurance

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 Bay Mental Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tampa Bay Mental Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1871202911
3105 W WATERS AVE STE 102
Tampa, FL 33614
(813) 269-2920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215653589
3105 W WATERS AVE STE 102
Tampa, FL 33614
(813) 269-2920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851909212
6916 W LINEBAUGH AVE STE 102
Tampa, FL 33625
(813) 481-2645
✔ PECOS3.9 mi
Psychologist Billing Independently
NPI 1902018419
6916 W LINEBAUGH AVE STE 102
Tampa, FL 33625
(813) 269-2920
3.9 mi
Psychiatry
NPI 1013021138
12901 BRUCE B DOWNS BLVD
Tampa, FL 33612
(813) 974-8900
✔ PECOS✔ Accepts Medicare4.9 mi

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 Bay Mental Health, LLC's NPI number?

The NPI number for Tampa Bay Mental Health, LLC is 1710570734. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Tampa Bay Mental Health, LLC located?

Tampa Bay Mental Health, LLC is located at 3105 W Waters Ave Ste 102, Tampa, FL 33614. The listed phone number is (813) 269-2920.

What is Tampa Bay Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Tampa Bay Mental Health, LLC enrolled in Medicare?

Yes. Tampa Bay Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tampa Bay Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Tampa Bay Mental Health, 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. The largest specialties are Nurse Practitioner (3), Psychiatry (1) and Psychologist Billing Independently (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tampa Bay Mental Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tampa Bay Mental Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tampa Bay Mental Health, LLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.