Organization Active NPI

Peterkins Mental Health & Substance Abuse Services, Inc.

  • Community/Behavioral Health Agency
  • Tallahassee, FL
National Provider Identifier
1174964050
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PETERKINS MENTAL HEALTH & SUBSTANCE ABUSE SERVICES, INC.
Practice address
2444 Nugget LN
Tallahassee, FL 32303-3726
Phone
(910) 759-9472
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Alice Smith
Title
Director
Phone
(910) 759-9472

Specialties & licenses 1

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

Addresses

Primary practice location

2444 Nugget LN
Tallahassee, FL 32303-3726

Mailing address

2444 Nugget LN
Tallahassee, FL 32303-3726
Phone (910) 759-9472

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1174964050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 NUGGET LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033726",
            "telephone_number": "910-759-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 NUGGET LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033726",
            "telephone_number": "910-759-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERKINS MENTAL HEALTH & SUBSTANCE ABUSE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-759-9472"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.