NPIMap

Organization Active NPI

Personal Enrichment for Mental Health Services

  • Community/Behavioral Health Agency
  • Pinellas Park, FL
National Provider Identifier
1245395243
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PH13594 Issued in FL
Legal business name
PERSONAL ENRICHMENT FOR MENTAL HEALTH SERVICES
Practice address
11254 58TH St
Pinellas Park, FL 33782-2213
Phone
(727) 362-4318
Fax
(727) 545-6464
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Jo M Watson
Title
Billing Specialist
Phone
(724) 362-4318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PH13594 FL Primary

Addresses

Primary practice location

11254 58TH St
Pinellas Park, FL 33782-2213

Mailing address

11254 58TH St
Pinellas Park, FL 33782-2213
Phone (727) 362-4318

Other identifiers 1

IdentifierTypeStateIssuer
060522101MedicaidFL

Other names 1

  • PEMHS, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Enrichment for Mental Health Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1245395243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 58TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822213",
            "telephone_number": "727-362-4318",
            "fax_number": "727-545-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11254 58TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822213",
            "telephone_number": "727-362-4318",
            "fax_number": "727-545-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ENRICHMENT FOR MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "724-362-4318"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PH13594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060522101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMHS, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.