# CENTER FOR CHILD AND ADULT PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861950420
- **Authorized official:** GREGORY THORKELSON MD (PRESIDENT)
- **Authorized official phone:** (330) 632-0172

## Contact information

- **Practice address:** 2909 W BAY TO BAY BLVD STE 210, TAMPA, FL 33629-8100
- **Practice address phone:** (813) 995-1775
- **Mailing address:** 1911 MONONGAHELA AVE UNIT 82661, PITTSBURGH, PA 15218-6616
- **Mailing address phone:** (330) 632-0173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2019
- **Last updated:** 03/03/2019