NPIMap

Organization Active NPI

Boys Town North Florida, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tallahassee, FL
National Provider Identifier
1285711960
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
0700-01-06 Issued in FL
Legal business name
BOYS TOWN NORTH FLORIDA, INC
Practice address
3555 Commonwealth Blvd
Tallahassee, FL 32303-3119
Phone
(850) 575-6422
Fax
(850) 575-7158
NPI assigned
Nov 1, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Mr. Marcus Lampkin
Title
Executive Director
Phone
(850) 504-5017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 0700-01-06 FL Primary

Addresses

Primary practice location

3555 Commonwealth Blvd
Tallahassee, FL 32303-3119

Mailing address

3555 Commonwealth Blvd
Tallahassee, FL 32303-3119
Phone (850) 575-6422

Other identifiers 5

IdentifierTypeStateIssuer
055046901MedicaidFL
0550469-04MedicaidFL
0550469-01MedicaidFL
055046904MedicaidFL
004546400MedicaidFL

Other names 1

  • Girls and Boys Town of North Florida, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3555 Commonwealth Blvd
Tallahassee, FL 32303
Phone (850) 504-5036

Practitioners & affiliated clinicians

Practitioners 8

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1285711960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 COMMONWEALTH BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033119",
            "telephone_number": "850-575-6422",
            "fax_number": "850-575-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 COMMONWEALTH BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033119",
            "telephone_number": "850-575-6422",
            "fax_number": "850-575-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS TOWN NORTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "LAMPKIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-504-5017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "0700-01-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055046901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550469-04",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550469-01",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055046904",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004546400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girls and Boys Town of North Florida, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.