Organization Active NPI

Pickett Fences Family Stabilization and Mental Health Services of S. F

  • Case Management Agency
  • Plantation, FL
National Provider Identifier
1083056402
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PICKETT FENCES FAMILY STABILIZATION AND MENTAL HEALTH SERVICES OF S. F
Practice address
4610 NW 9TH CT
Plantation, FL 33317-1437
Phone
(954) 601-7338
NPI assigned
Jul 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Ms. Paulette Rudean Arline, MPH
Title
Chief Operating Officer
Phone
(954) 601-7338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4610 NW 9TH CT
Plantation, FL 33317-1437

Mailing address

4651 NW 6TH CT
C/O Yorell Lassiter
Plantation, FL 33317-1463
Phone (954) 601-7338

National Provider Directory

National Provider Directory
Tax ID family
Pickett Fences Family Stabilization and Mental Health Services of S F2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3601 W Commercial Blvd
Ste 3
Fort Lauderdale, FL 33309

4610 NW 9th Ct
Plantation, FL 33317
Phone (954) 601-7338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1083056402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 NW 6TH CT",
            "address_2": "C/O YORELL LASSITER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171463",
            "telephone_number": "954-601-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NW 9TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171437",
            "telephone_number": "954-601-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT FENCES FAMILY STABILIZATION AND MENTAL HEALTH SERVICES OF S. F",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "ARLINE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "RUDEAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "954-601-7338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.