Active NPI
And Recovery & Behavioral Health LLC
- Psychiatric/Mental Health Registered Nurse
- St Petersburg, FL
National Provider Identifier
1215490099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychologist
- St Petersburg, FL
- NPI 1073803516
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.