Center for Dynamic Healing, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTER FOR DYNAMIC HEALING, INC

Practice address

40946 US Highway 19 N # 421
Tarpon Springs, FL 34689-5446

Phone

(224) 828-9877

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Lynn Leann BarretteNPI 1063657351

Title

Director

Phone

(224) 828-9877

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Leann Barrette, LCSW

  • Clinical Social Worker
  • Mount Prospect, IL
  • NPI 1063657351

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1275004608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40946 US HIGHWAY 19 N # 421",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895446",
            "telephone_number": "224-828-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40946 US HIGHWAY 19 N # 421",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895446",
            "telephone_number": "224-828-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017506",
            "country_code": "US",
            "telephone_number": "224-828-9877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600563307",
            "country_code": "US",
            "telephone_number": "224-828-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR DYNAMIC HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "BARRETTE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "224-828-9877"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Carson, P.A.
• Thomas E. Carson, M.D.
• Macarena Carter, LMHC
• Michelle K Carter, MA
• Randolph Richard Carter III, PTA
• Elyse Centonze, M.A. CCC/SLP
• Leah Centonze
• Elizabeth Cerpa, OT
• Catherine Sherrill Cervantes, AA
• Deborah Chambers, APRN

• Clinical Social Worker in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.