Organization Active NPI

And Recovery & Behavioral Health LLC

  • Psychiatric/Mental Health Registered Nurse
  • St Petersburg, FL
National Provider Identifier
1215490099
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
AND RECOVERY & BEHAVIORAL HEALTH LLC
Doing business as
And Recovery & Behavioral Health LLC
Practice address
4711 2ND Ave S
St Petersburg, FL 33711-1013
Phone
(727) 557-7941
NPI assigned
Apr 9, 2019
Last updated
Apr 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Ms. Pamela Dixon
Title
Owner
Phone
(727) 557-7941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Psychiatric/Mental Health Registered Nurse 163WP0808X Primary

Addresses

Primary practice location

4711 2ND Ave S
St Petersburg, FL 33711-1013

Mailing address

4711 2ND Ave S
St Petersburg, FL 33711-1013
Phone (727) 557-7941

Other names 1

  • AND RECOVERY & BEHAVIORAL HEALTH LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1215490099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111013",
            "telephone_number": "727-557-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111013",
            "telephone_number": "727-557-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AND RECOVERY & BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-557-7941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AND RECOVERY & BEHAVIORAL HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.