NPIMap

Organization Active NPI

Personal Enrichment Through Mental Health Services

Doing business as Pemhs

  • Case Management Agency
  • Largo, FL
National Provider Identifier
1245513274
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES
Doing business as
Pemhs
Practice address
1614 Palm Way
Largo, FL 33771-3926
Phone
(727) 545-6477
Fax
(727) 507-4722
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Gerald F Wennlund, MA, MBA
Title
Coo
Phone
(727) 545-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

1614 Palm Way
Largo, FL 33771-3926

Mailing address

11254 58TH St N
Pinellas Park, FL 33782-2213
Phone (727) 545-6477

Other names 1

  • PEMHS 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.

Locations

11254 58th St N
Pinellas Park, FL 33782
Phone (727) 362-4318

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1245513274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11254 58TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822213",
            "telephone_number": "727-545-6477",
            "fax_number": "727-545-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 PALM WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713926",
            "telephone_number": "727-545-6477",
            "fax_number": "727-507-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "WENNLUND",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-545-6477",
        "authorized_official_credential": "MA, MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.