NPIMap

Organization Active NPI

Eckerd Youth Alternatives, Inc.

Doing business as Eckerd Connects

  • Community/Behavioral Health Agency
  • Floral City, FL
National Provider Identifier
1275602302
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ECKERD YOUTH ALTERNATIVES, INC.
Doing business as
Eckerd Connects
Practice address
7027 E Stage Coach Trail
Floral City, FL 34436-3542
Phone
(352) 726-3883
Fax
(352) 726-3260
NPI assigned
Nov 6, 2006
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
David Dennis
Title
Cfo
Phone
(727) 461-2990

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Community/Behavioral Health Agency 251S00000X Primary
Foster Care Agency 253J00000X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

7027 E Stage Coach Trail
Floral City, FL 34436-3542

Mailing address

100 Starcrest Dr
Clearwater, FL 33765-3224
Phone (727) 461-2990

Other practice location 1

225 E Chestnut St
Asheville, NC 28801-2577
Phone (828) 450-3943

Other practice location 2

4654 High Rock Rd
Boomer, NC 28606-9109
Phone (336) 921-3300

Other practice location 3

500 E. Ku Sumee Road
Candor, NC 27229
Phone (910) 974-4183

Other practice location 4

633 Shepards Way Ln
Manson, NC 27553-9673
Phone (252) 366-9380

Other practice location 5

2226 Sarno Rd Ste 107
Melbourne, FL 32935-3087
Phone (321) 253-0032

Other names 1

  • Eckerd Connects Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eckerd Youth Alternatives Inc Dba Eckerd Connects13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

7027 E Stage Coach Trl
Floral City, FL 34436
Phone (352) 726-3883

2226 Sarno Rd
Ste 107
Melbourne, FL 32935
Phone (321) 253-0032

633 Shepards Way Ln
Manson, NC 27553
Phone (252) 366-9380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1275602302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARCREST DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653224",
            "telephone_number": "727-461-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 E STAGE COACH TRAIL",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344363542",
            "telephone_number": "352-726-3883",
            "fax_number": "352-726-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012577",
            "country_code": "US",
            "telephone_number": "828-450-3943",
            "fax_number": "828-298-2478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4654 High Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Boomer",
            "state": "NC",
            "postal_code": "286069109",
            "country_code": "US",
            "telephone_number": "336-921-3300",
            "fax_number": "336-921-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E. Ku Sumee Road",
            "address_purpose": "LOCATION",
            "city": "Candor",
            "state": "NC",
            "postal_code": "27229",
            "country_code": "US",
            "telephone_number": "910-974-4183",
            "fax_number": "910-947-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Shepards Way Ln",
            "address_purpose": "LOCATION",
            "city": "Manson",
            "state": "NC",
            "postal_code": "275539673",
            "country_code": "US",
            "telephone_number": "252-366-9380",
            "fax_number": "336-921-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2226 Sarno Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353087",
            "country_code": "US",
            "telephone_number": "321-253-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ECKERD YOUTH ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-461-2990"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eckerd Connects",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eckerd Connects",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floral City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.