NPIMap

Organization Active NPI

Westcare Gulfcoast Florida, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
National Provider Identifier
1124161062
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
SR52AD262901 Issued in FL
Legal business name
WESTCARE GULFCOAST FLORIDA, INC
Practice address
1735 Dr Martin Luther King Jr St S
St Petersburg, FL 33705-2404
Phone
(727) 502-0188
Fax
(727) 551-0668
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mr. Robert NeriNPI 1194164939
Title
Senior Vice President
Phone
(727) 490-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SR52AD262901 FL Primary

Addresses

Primary practice location

1735 Dr Martin Luther King Jr St S
St Petersburg, FL 33705-2404

Mailing address

1735 Dr Martin Luther King Jr St S
St Petersburg, FL 33705-2404
Phone (727) 502-0188

Other identifiers 1

IdentifierTypeStateIssuer
075852300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Guidancecare Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1124161062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052404",
            "telephone_number": "727-502-0188",
            "fax_number": "727-551-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052404",
            "telephone_number": "727-502-0188",
            "fax_number": "727-551-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCARE GULFCOAST FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "727-490-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SR52AD262901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075852300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

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