Go Checkpoint

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GO CHECKPOINT

Practice address

5203 La Salle St Apt a
Fort Pierce, FL 34951-5029

Phone

(772) 925-9435

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Anithra Minus

Title

Ceo

Phone

(772) 925-9435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1063938454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 LA SALLE ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349515029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 LA SALLE ST APT A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349515029",
            "telephone_number": "772-925-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO CHECKPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "MINUS",
        "authorized_official_first_name": "ANITHRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-925-9435"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Fort Pierce, FL
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• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.