NPIMap

Organization Active NPI

Specialized Treatment, Education and Prevention Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cocoa, FL
National Provider Identifier
1275830804
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1805AD398603 Issued in FL
Legal business name
SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.
Practice address
803 N Fiske Blvd
Cocoa, FL 32922-7309
Phone
(321) 637-7730
Fax
(321) 639-5721
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Mrs. Kathleen Turner, CCJAP
Title
Executive Director
Phone
(407) 522-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1805AD398603 FL Primary

Addresses

Primary practice location

803 N Fiske Blvd
Cocoa, FL 32922-7309

Mailing address

803 N Fiske Blvd
Cocoa, FL 32922-7309
Phone (321) 637-7730

Other identifiers 1

IdentifierTypeStateIssuer
029951100MedicaidFL

Other names 1

  • STEPS, INC. Other name

National Provider Directory

National Provider Directory
Tax ID family
Specialized Treatment Education and Prevention 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

803 N Fiske Blvd
Cocoa, FL 32922
Phone (321) 637-7730

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1275830804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N FISKE BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227309",
            "telephone_number": "321-637-7730",
            "fax_number": "321-639-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FISKE BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227309",
            "telephone_number": "321-637-7730",
            "fax_number": "321-639-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED TREATMENT, EDUCATION AND PREVENTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-522-2144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCJAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1805AD398603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029951100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEPS, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.