CMS-1500 Box 24J / 33a • NPI
1306114301
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2084P0800X (CMS 26)
Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)
Box 32 Service Location & ZIP+4
2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 33607-6551
✓ 9-Digit EDI 837 ZIP+4 (33607-6551)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1306114301 (A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1306114301 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC |
| Plain-English Specialty | Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) NUCC Code: 2084P0800X (Psychiatry & Neurology, Psychiatry) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 2150 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR SUITE B, TAMPA, FL, 33607-6551 |
| Practice Telephone / Fax | Tel: (813) 872-1525 | Fax: (813) 877-5910 |
| Administrative Mailing Address | 2150 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL, 33607-6551 |
| Enumeration & Last Sync | Enumerated: 2011-12-05 | CMS Record Updated: 2011-12-05 |
| Authorized Official | JUSTIN ROTH (Owner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084P0800X)
What Does Taxonomy Code 2084P0800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0800X translates to:
"Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A AND R PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Psychiatric Diagnostic Evaluation (CPT 90792)
- Psychopharmacological Management & Supportive Psychotherapy
- Medication-Assisted Treatment (MAT) for Substance Use Disorders
- SSRIs & SNRIs (Sertraline, Escitalopram, Fluoxetine, Duloxetine)
- Bupropion, Mirtazapine & Atypical Antipsychotics (Aripiprazole, Quetiapine)
- Buprenorphine/Naloxone & Naltrexone (Addiction Recovery)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: N/A | License: Verified | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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