OrganizationActive
Discovery Practice Management, Inc.
NPI 1376207456 · Adolescent and Children Mental Health Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1376207456
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ambulatory Family Planning Facility261QA0005X
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
3709 W Jetton Ave Ste 102
Tampa, FL 33629-5116
Phone: (714) 828-1800
Fax: (714) 882-1186
Approximate (ZIP-level) locationGet directions
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Other names (DBA / former)
- Doing business as
- Discovery Mood & Anxiety Program, Tampa
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.