Advanced Provder Health & Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADVANCED PROVDER HEALTH & WELLNESS LLC

Doing business as

Advanced Mental Health Care

Practice address

9575 SW 99TH PL
Gainesville, FL 32608-6088

Phone

(352) 363-1117

Fax

(352) 329-4300

NPI assigned

Mar 20, 2021

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Cross, APRNNPI 1578045407

Title

MGR

Phone

(239) 220-7828

Specialties & licenses 2

Addresses

Other names 1

• Advanced Mental Health Care Doing business as

Locations

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.

• Melissa Marie Cross, APRN,

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, FL
  • NPI 1578045407
  NPD Authorized official

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1134705221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 HANCOCK BRIDGE PKWY STE 112-181",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037219",
            "telephone_number": "239-220-7828",
            "fax_number": "239-217-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 SW 99TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086088",
            "telephone_number": "352-363-1117",
            "fax_number": "352-329-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROVDER HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "239-220-7828",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Mental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.