Pearl of the Sea Retreat, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PEARL OF THE SEA RETREAT, LLC

Doing business as

Pearl of the Sea Retreat

Practice address

7601 A1A S
Saint Augustine, FL 32080-8206

Phone

(617) 909-5283

NPI assigned

Dec 21, 2018

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradley Greenstein

Title

Ceo

Phone

(617) 909-5283

Specialties & licenses 1

Addresses

Other names 1

• Pearl of the Sea Retreat Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson Antonio Pichardo, MD

  • Psychiatry Physician
  • Santa Rosa Beach, FL
  • NPI 1649437401
  NPD (past)
• David Vinson, LPC

  • Professional Counselor
  • Castle Hills, TX
  • NPI 1063879534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1023580586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320808206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320808206",
            "telephone_number": "617-909-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL OF THE SEA RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-909-5283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl of the Sea Retreat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearl of the Sea Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Payton, MD
• Emily Peabody
• Peace of Nutrition, LLC
• Bonnie S Peacock, BA
• Beth S Pearce, DPM
• Scott M. Pearl, O.D.
• Pearle Vision Inc (Pearle Vision #C6397)
• Anna C. Peavler, PT DPT
• Cathy Eileen Peck
• Pediatrics of St. Augustine

• Substance Abuse Rehabilitation Facility in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.