Organization Active NPI

Pickett Fences Family Stabilization & Mental Health Servics of So FL

  • Social Worker
  • Lauderhill, FL
National Provider Identifier
1215341466
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
PICKETT FENCES FAMILY STABILIZATION & MENTAL HEALTH SERVICS OF SO FL
Practice address
3800 Inverrary Blvd
Suite 401-C
Lauderhill, FL 33319-4382
Phone
(954) 486-8878
Fax
(888) 516-7046
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Ms. Paulette R Arline, MPH
Title
Chief Exective Officer
Phone
(954) 486-8878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

3800 Inverrary Blvd
Suite 401-C
Lauderhill, FL 33319-4382

Mailing address

3800 Inverrary Blvd
Suite 401-C
Lauderhill, FL 33319-4382
Phone (954) 486-8878

National Provider Directory

National Provider Directory
Tax ID family
Pickett Fences Family Stabilization and Mental Health Services of S F2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3800 Inverrary Blvd
Ste 401C
Lauderhill, FL 33319
Phone (954) 486-8878

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1215341466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 INVERRARY BLVD",
            "address_2": "SUITE 401-C",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194382",
            "telephone_number": "954-486-8878",
            "fax_number": "888-516-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 INVERRARY BLVD",
            "address_2": "SUITE 401-C",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194382",
            "telephone_number": "954-486-8878",
            "fax_number": "888-516-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT FENCES FAMILY STABILIZATION & MENTAL HEALTH SERVICS OF SO FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "ARLINE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECTIVE OFFICER",
        "authorized_official_telephone_number": "954-486-8878",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.