NPIMap

Organization Active NPI

Centerplace Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Port, FL
National Provider Identifier
1033817457
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTERPLACE HEALTH, INC
Practice address
6919 Outreach Way
North Port, FL 34287-3493
Phone
(941) 529-0200
NPI assigned
Feb 16, 2023
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERPLACE HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Kari Aud Ellingstad, CEO
Title
Ceo
Phone
(941) 529-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6919 Outreach Way
North Port, FL 34287-3493

Mailing address

1750 17TH St Ste N
Sarasota, FL 34234-8690
Phone (941) 529-0200

National Provider Directory

National Provider Directory
Tax ID family
Centerplace Health Inc7 organizations share this tax ID, including this one
Part of
Centerplace Health Inc

Other organizations with this tax ID 6

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16972/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1033817457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE N",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348690",
            "telephone_number": "941-529-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 OUTREACH WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873493",
            "telephone_number": "941-529-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPLACE HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERPLACE HEALTH, INC",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "ELLINGSTAD",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "AUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-529-2422",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.