NPIMap

Organization Active NPI

Specialized Treatment, Education and Prevention Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Melbourne, FL
National Provider Identifier
1205133899
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1805AD398601 Issued in FL
Legal business name
SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.
Practice address
1751 Sarno Rd Ste 1
Melbourne, FL 32935-4909
Phone
(321) 775-1520
Fax
(321) 775-1521
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mrs. Kathleen Turner, CCJAP
Title
Executive Director
Phone
(321) 637-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1805AD398601 FL Primary

Addresses

Primary practice location

1751 Sarno Rd Ste 1
Melbourne, FL 32935-4909

Mailing address

1751 Sarno Rd Ste 1
Melbourne, FL 32935-4909
Phone (321) 775-1520

Other identifiers 1

IdentifierTypeStateIssuer
029951100MedicaidFL

Other names 1

  • STEPS, INC. Other name

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Education and Prevention Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1205133899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SARNO RD STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354909",
            "telephone_number": "321-775-1520",
            "fax_number": "321-775-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SARNO RD STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354909",
            "telephone_number": "321-775-1520",
            "fax_number": "321-775-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-637-7730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCJAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1805AD398601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029951100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEPS, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.