NPIMap

Organization Active NPI

Agency for Community Treatment Services

  • Voluntary or Charitable Agency
  • Tampa, FL
National Provider Identifier
1073883534
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
IMH9474 Issued in FL
Legal business name
AGENCY FOR COMMUNITY TREATMENT SERVICES
Practice address
4612 N 56TH St
Tampa, FL 33610-7123
Phone
(813) 246-4899
Fax
(813) 367-2579
NPI assigned
Dec 30, 2011
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Asha Pereyra
Title
Ceo
Phone
(813) 248-4899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X IMH9474 FL Primary

Addresses

Primary practice location

4612 N 56TH St
Tampa, FL 33610-7123

Mailing address

4612 N 56TH St
Tampa, FL 33610-7123
Phone (813) 248-4899

Other identifiers 1

IdentifierTypeStateIssuer
060556500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfenske@actsfl.org

National Provider Directory

National Provider Directory
Tax ID family
Acts4 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.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1073883534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-248-4899",
            "fax_number": "813-367-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-246-4899",
            "fax_number": "813-367-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR COMMUNITY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "PEREYRA",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-248-4899"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "IMH9474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfenske@actsfl.org",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "4612 N 56th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336107123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 19, 2022; 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.