Coast Therapeutic Services, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

06-52-AD-4303-01 Issued in FL

Legal business name

COAST THERAPEUTIC SERVICES, INC

Practice address

145 108TH Ave
Treasure Island, FL 33706-4747

Phone

(727) 367-9655

Fax

(727) 367-9661

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew B Schwarz

Title

Director

Phone

(727) 367-9655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1235413089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 108TH AVE",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064747",
            "telephone_number": "727-367-9655",
            "fax_number": "727-367-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 108TH AVE",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064747",
            "telephone_number": "727-367-9655",
            "fax_number": "727-367-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST THERAPEUTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-367-9655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "06-52-AD-4303-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roddy Janiel Bernard, MD
• David Scott Borislow, MD
• Caroline Brooks
• Chris Carson, M.D.
• Enrico J Cellini, R.PH.
• Tania Ann Culverhouse, MS,CCC-SLP
• Erica Jayne Dahlquist
• Susann Dempel, PA
• Jeevan Diptee Rodrigues, MD
• Elite Assessments

• Substance Use Disorder Rehabilitation Clinic/Center in Treasure Island, FL
• Providers in Treasure Island, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.