Organization Active NPI

Resolve Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Springs, FL
National Provider Identifier
1093327017
Registry record updated Aug 20, 2020
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
RESOLVE WELLNESS
Practice address
3000 NW 101St LN
Coral Springs, FL 33065-3930
Phone
(954) 272-4073
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Kim M Chiddo, MBA, MSHRM
Title
Ceo
Phone
(954) 272-4073

Specialties & licenses 1

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

Addresses

Primary practice location

3000 NW 101St LN
Coral Springs, FL 33065-3930

Mailing address

3000 NW 101St LN
Coral Springs, FL 33065-3930
Phone (954) 272-4073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1093327017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NW 101ST LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653930",
            "telephone_number": "954-272-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NW 101ST LN",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653930",
            "telephone_number": "954-272-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "CHIDDO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-272-4073",
        "authorized_official_credential": "MBA, MSHRM"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.