Organization Active NPI

Family Preservation Services of Florida, Inc

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
National Provider Identifier
1265737076
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YM0800X Issued in FL
Legal business name
FAMILY PRESERVATION SERVICES OF FLORIDA, INC
Practice address
121 N 2ND St Ste 301
Fort Pierce, FL 34950-4435
Phone
(772) 595-3773
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Lisa Brook Watts
Title
Counselor
Phone
(772) 595-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YM0800X FL Primary

Addresses

Primary practice location

121 N 2ND St Ste 301
Fort Pierce, FL 34950-4435

Mailing address

121 N 2ND St Ste 301
Fort Pierce, FL 34950-4435
Phone (772) 595-3773

National Provider Directory

National Provider Directory

Locations

121 N 2nd St
Ste 301
Fort Pierce, FL 34950
Phone (772) 595-3773

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1265737076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 2ND ST STE 301",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504435",
            "telephone_number": "772-595-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 2ND ST STE 301",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504435",
            "telephone_number": "772-595-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION SERVICES OF FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "772-595-3773"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.