OrganizationActive
Blue Wave Psychiatry LLC
NPI 1164857876 · Psychiatry Physician · Tampa, FL
Blue Wave Psychiatry LLC is a Psychiatry Physician organization in Tampa, FL (NPI 1164857876).
Provider details
- NPI number
- 1164857876
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Felix Widlacki, Ceo(727) 871-1178
- License
- OS11223 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6601 Memorial Hwy
Tampa, FL 33615-4501
Phone: (727) 871-1178
Street-level locationGet directions
Mailing address
6601 Memorial Hwy
Tampa, FL 33615-4501
Registry dates
- Enumerated
- 2013-09-12
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Frequently asked questions
- What is Blue Wave Psychiatry LLC's NPI number?
- Blue Wave Psychiatry LLC's National Provider Identifier (NPI) is 1164857876, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Wave Psychiatry LLC?
- Blue Wave Psychiatry LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Wave Psychiatry LLC located?
- Blue Wave Psychiatry LLC's practice location on file with NPPES is 6601 Memorial Hwy, Tampa, FL 33615-4501.
- What is Blue Wave Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Wave Psychiatry LLC is (727) 871-1178.
- Who is the authorized official for Blue Wave Psychiatry LLC?
- The authorized official listed on Blue Wave Psychiatry LLC's NPPES record is Felix Widlacki, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Wave Psychiatry LLC's NPI active?
- Yes — Blue Wave Psychiatry LLC's NPI (1164857876) is active in the NPPES registry as of the last update on 2020-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.