Organization Active NPI

Gulf Coast Mental Health Services LLC

  • Clinic/Center
  • Largo, FL
National Provider Identifier
1265040976
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GULF COAST MENTAL HEALTH SERVICES LLC
Practice address
10641 Whittngton Court
Largo, FL 33773
Phone
(813) 793-7407
Fax
(313) 789-1751
NPI assigned
Jul 20, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dorit Morecraft, MSN, PMHNP-BC
Title
Owner
Phone
(813) 793-7407

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

10641 Whittngton Court
Largo, FL 33773

Mailing address

690 Main St Ste 1044
Safety Harbor, FL 34695-3551
Phone (813) 793-7407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2020.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1265040976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MAIN ST STE 1044",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953551",
            "telephone_number": "813-793-7407",
            "fax_number": "313-789-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 WHITTNGTON COURT",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33773",
            "telephone_number": "813-793-7407",
            "fax_number": "313-789-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "MORECRAFT",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-793-7407",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2020; 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.