NPIMap

Organization Active NPI

Trauma Resolution Center

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
National Provider Identifier
1093170128
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRAUMA RESOLUTION CENTER
Practice address
900 Perrine Ave
Palmetto Bay, FL 33157-5433
Phone
(305) 374-9990
Fax
(305) 374-9995
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Teresa Descilo, MSW
Title
Executive Director
Phone
(305) 374-9990

Specialties & licenses 1

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

Addresses

Primary practice location

900 Perrine Ave
Palmetto Bay, FL 33157-5433

Mailing address

900 Perrine Ave
Palmetto Bay, FL 33157-5433
Phone (305) 374-9990

Other identifiers 1

IdentifierTypeStateIssuer
005432500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Trauma Resolution Center4 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

900 Perrine Ave
Palmetto Bay, FL 33157
Phone (305) 374-9990

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1093170128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PERRINE AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575433",
            "telephone_number": "305-374-9990",
            "fax_number": "305-374-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PERRINE AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575433",
            "telephone_number": "305-374-9990",
            "fax_number": "305-374-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RESOLUTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "DESCILO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-374-9990",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005432500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.