NPIMap

Organization Active NPI

Early Autism Project, Inc.

Doing business as Surpass Behavioral Health

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1033427471
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EARLY AUTISM PROJECT, INC.
Doing business as
Surpass Behavioral Health
Practice address
3217 S Macdill Ave
Tampa, FL 33629-1719
Phone
(615) 569-1314
Fax
(615) 577-5654
NPI assigned
Sep 20, 2010
Last updated
Aug 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Jessica Kirk
Title
Revenue Cycle Manager
Phone
(615) 880-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3217 S Macdill Ave
Tampa, FL 33629-1719

Mailing address

PO Box 931142
Atlanta, GA 31193-1142
Phone (615) 696-6761

Other names 1

  • Surpass Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Early Autism Project Dba Surpass Behavioral Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3217 S Macdill Ave
Tampa, FL 33629
Phone (813) 284-7941

1 Marcus Dr
Ste 308
Greenville, SC 29615
Phone (864) 631-2084

3820 Faber Place Dr
Ste 600
North Charleston, SC 29405
Phone (843) 352-7049

2580 Lin Do Ct
Sumter, SC 29150
Phone (803) 905-4427

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1033427471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931142",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931142",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336291719",
            "telephone_number": "615-569-1314",
            "fax_number": "615-577-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY AUTISM PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "615-880-5782"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surpass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.