Organization Active NPI

Amedicalz

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
National Provider Identifier
1215525191
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMEDICALZ
Practice address
4707 140TH Ave N Ste 309
Clearwater, FL 33762-3840
Phone
(813) 850-2197
NPI assigned
Jan 6, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ezequiel ValdesNPI 1710575790
Title
Owner
Phone
(813) 850-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

4707 140th Ave N
Ste 309
Clearwater, FL 33762
Phone (813) 850-2197

4255 73rd Ave N
Ste F
Pinellas Park, FL 33781
Phone (727) 289-1763

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

4707 140TH Ave N Ste 309
Clearwater, FL 33762-3840

Mailing address

4255 73Rd Ave N Ste F
Pinellas Park, FL 33781-4546
Phone (813) 850-2197

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL WWW.amedicalz.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2021.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1215525191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 73RD AVE N STE F",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814546",
            "telephone_number": "813-850-2197",
            "fax_number": "727-289-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N STE 309",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623840",
            "telephone_number": "813-850-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDICALZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-850-2197"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.amedicalz.com",
            "affiliation": "N",
            "endpointDescription": "WEB",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4707 140th Ave N Ste 309",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337623840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.