1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Clinic Center
  6. NPI Profile

DIVERSE BEHAVIORAL SERVICES CORP
NPI 1720708977
Clinic/Center - Adolescent and Children Mental Health in Tampa, FL

Active since August 29, 2022
4504 WISHART PL, TAMPA, FL 33603(813) 610-3262 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diverse Behavioral Services Corp NPPES

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

DIVERSE BEHAVIORAL SERVICES CORP (NPI 1720708977) is a healthcare organization registered as an adolescent and children mental health in Tampa, Florida and active in the NPI registry since August 2022. The organization lists Mayelin Santos, Owner, as its authorized official.

NPPES Registry Identity

NPI1720708977
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameDIVERSE BEHAVIORAL SERVICES CORP
Location Address4504 WISHART PLTampa, FL 33603-2724
Mailing Address4504 Wishart PlTampa, FL 33603-2724
Phone(813) 610-3262
Organization SubpartNo
Authorized OfficialMayelin SantosOwner · (813) 610-3262
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1720708977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
4504 WISHART PL, Tampa, FL 33603
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

PROGRESSIVE FAMILY CARE LLC
Family Medicine
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 605-7775
CHILDREN & PARENTS ABA & COUNSELING CENTER CORP
Community/Behavioral Health
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 348-4814
LEONARDO SANCHEZ ORTIZ APRN
Nurse Practitioner
4504 WISHART PL
TAMPA, FL 33603
Hillsborough County (813) 605-7775

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 Diverse Behavioral Services Corp's NPI number?

The NPI number for Diverse Behavioral Services Corp is 1720708977. It was assigned to this organization in the NPPES registry on August 29, 2022.

Where is Diverse Behavioral Services Corp located?

Diverse Behavioral Services Corp is located at 4504 Wishart Pl, Tampa, FL 33603. The listed phone number is (813) 610-3262.

What is Diverse Behavioral Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Diverse Behavioral Services Corp was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.