Organization Active NPI

Patricia Ann Rutledge-Capers, LMHC

  • Adolescent and Children Mental Health Clinic/Center
  • Pensacola, FL
National Provider Identifier
1134664139
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
MN7826 Issued in FL
Legal business name
PATRICIA ANN RUTLEDGE-CAPERS, LMHC
Practice address
8800 University Pkwy Ste C-1B
Pensacola, FL 32514-4927
Phone
(850) 292-2769
Fax
(850) 270-6658
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Ms. Patricia Ann Rutledge-Capers, LMHC
Title
Owner
Phone
(850) 292-2769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MH7826 GA
Adolescent and Children Mental Health Clinic/Center 261QM0855X MN7826 FL Primary

Addresses

Primary practice location

8800 University Pkwy Ste C-1B
Pensacola, FL 32514-4927

Mailing address

8800 University Pkwy Ste C-1B
Pensacola, FL 32514-4927
Phone (850) 292-2769

National Provider Directory

National Provider Directory

Locations

8800 University Pkwy
Ste C1B
Pensacola, FL 32514
Phone (850) 292-2769

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1134664139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 UNIVERSITY PKWY STE C-1B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144927",
            "telephone_number": "850-292-2769",
            "fax_number": "850-270-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 UNIVERSITY PKWY STE C-1B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325144927",
            "telephone_number": "850-292-2769",
            "fax_number": "850-270-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA ANN RUTLEDGE-CAPERS, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE-CAPERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-292-2769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "MH7826",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MN7826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.