| Transformative Healthcare Solutions West Llc | |
|
4820 W Gandy Blvd Tampa FL 33611-3003 | |
| (954) 885-9500 | |
| (954) 885-9444 |
| Full Name | Transformative Healthcare Solutions West Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4820 W Gandy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Ann Monis (PRESIDENT) |
| Authorized Official Contact | 9548859500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Healthcare Solutions West Llc 1848 Se 1st Ave Fort Lauderdale FL 33316-2875 Ph: (954) 885-9500 | Transformative Healthcare Solutions West Llc 4820 W Gandy Blvd Tampa FL 33611-3003 Ph: (954) 885-9500 |
| NPI Number | 1700610508 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 6103349568 |
|---|---|
| Medicare Enrollment ID | O20250326004137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700610508 | NPI | - | NPPES |
| Provider Name | Mark Sinz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366523078 PECOS PAC ID: 6901827518 Enrollment ID: I20051212000177 |
| Provider Name | Robert K Boxley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871584045 PECOS PAC ID: 3577747880 Enrollment ID: I20110412000226 |
| Provider Name | Connie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285723668 PECOS PAC ID: 8820078447 Enrollment ID: I20140806000556 |
| Provider Name | Dawna L Bone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811040686 PECOS PAC ID: 6204195357 Enrollment ID: I20180117001660 |
| Provider Name | Sandra Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073023073 PECOS PAC ID: 8729348156 Enrollment ID: I20180205000644 |
| Provider Name | Andre Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871002550 PECOS PAC ID: 2567719446 Enrollment ID: I20180724001142 |
| Provider Name | Jennifer Cardenas-trowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417358078 PECOS PAC ID: 3779828785 Enrollment ID: I20181219002911 |
| Provider Name | Holly Goller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639661754 PECOS PAC ID: 6002153806 Enrollment ID: I20190201001672 |
| Provider Name | Lindsay Good |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629522156 PECOS PAC ID: 6406181999 Enrollment ID: I20190703002119 |
| Provider Name | Jonathan Daniel Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164689600 PECOS PAC ID: 5890020200 Enrollment ID: I20190708001683 |
| Provider Name | Ann Monis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972887412 PECOS PAC ID: 4789858499 Enrollment ID: I20191003000507 |
| Provider Name | Shannon Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275164683 PECOS PAC ID: 6406283076 Enrollment ID: I20200219002786 |
| Provider Name | Tracy Rosalind Hacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699164251 PECOS PAC ID: 5496176547 Enrollment ID: I20200528001900 |
| Provider Name | Jesus Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184710527 PECOS PAC ID: 8628493152 Enrollment ID: I20200731000268 |
| Provider Name | Cynthia Torres Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083691406 PECOS PAC ID: 8325062433 Enrollment ID: I20201009002029 |
| Provider Name | Craig Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467733808 PECOS PAC ID: 5799196168 Enrollment ID: I20201117000314 |
| Provider Name | Elizabeth Ciaravino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154425205 PECOS PAC ID: 1052415163 Enrollment ID: I20220929002197 |
| Provider Name | Sarah Gaumer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053082297 PECOS PAC ID: 6305210618 Enrollment ID: I20230327003016 |
| Provider Name | Elena Maria Clara Bortoleto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194308791 PECOS PAC ID: 2668847104 Enrollment ID: I20230414000034 |
| Provider Name | Angela Marie Noe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407344849 PECOS PAC ID: 8628436912 Enrollment ID: I20230619000898 |
| Provider Name | Michaelanne Marie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558140111 PECOS PAC ID: 1658725163 Enrollment ID: I20231002001508 |
| Provider Name | Judith Faith Legault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295163384 PECOS PAC ID: 9133575798 Enrollment ID: I20231102001381 |
| Provider Name | Bambi Lynn Wadelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083764039 PECOS PAC ID: 1951759182 Enrollment ID: I20231129001814 |
| Provider Name | Sabrina Pooran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851528194 PECOS PAC ID: 7214387240 Enrollment ID: I20240103000966 |
| Provider Name | Nelly S Sawatsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285083642 PECOS PAC ID: 8224471891 Enrollment ID: I20240211000056 |
| Provider Name | Kevin Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174277933 PECOS PAC ID: 2264874023 Enrollment ID: I20240523004241 |
| Provider Name | Haylee Corrales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639260284 PECOS PAC ID: 0244772267 Enrollment ID: I20240606000027 |
| Provider Name | Marian Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215798210 PECOS PAC ID: 1557802923 Enrollment ID: I20240925003315 |
| Provider Name | Allison Melina Hopps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306675012 PECOS PAC ID: 7810421377 Enrollment ID: I20241107000334 |
| Provider Name | Melisa Budhna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700324498 PECOS PAC ID: 9234654914 Enrollment ID: I20250415001847 |
| Provider Name | Toni Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104554534 PECOS PAC ID: 3476078841 Enrollment ID: I20250417002439 |
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