Coconut Grove Recovery LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME43252 Issued in FL

Legal business name

COCONUT GROVE RECOVERY LLC

Practice address

15291 NW 60TH Ave Ste 200-201
Miami Lakes, FL 33014-8590

Phone

(952) 234-2469

Fax

(954) 204-0464

NPI assigned

May 31, 2016

Last updated

Mar 9, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

COCONUT GROVE RECOVERYAs reported in NPPES

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

Authorized official

Name

Cathy A Picillo

Title

Office MGR

Phone

(954) 234-2469

Specialties & licenses 2

Addresses

Tax ID family

Coconut Grove Recovery LLC3 organizations share this tax ID, including this one

Part of

Coconut Grove Recovery LLC

Other organizations with this tax ID 2

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

• Coconut Grove Recovery LLC

  dba More Life Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hollywood, FL
  • NPI 1568828978
  NPD tax ID
• Coconut Grove Recovery LLC

  • Clinical Medical Laboratory
  • Miami Lakes, FL
  • NPI 1912456435
  NPD tax ID

Locations

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1275981243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 200/201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330148590",
            "telephone_number": "954-234-2469",
            "fax_number": "954-204-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 200-201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330148590",
            "telephone_number": "952-234-2469",
            "fax_number": "954-204-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT GROVE RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCONUT GROVE RECOVERY",
        "enumeration_date": "2016-05-31",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "PICILLO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "954-234-2469"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME43252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffany Coats
• Yamila Cobos Castillo
• Natacha Coca, ARNP
• Coconut Grove Recovery LLC
• Coffeestone Holdings
• Cognitive Health Network Corp
• Stefani Cohen, RNFA
• Schane Coker, M.S., FFC, AFC

• Psychiatry Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.