Organization Active NPI

Mental Health Resources PC

  • Clinical Social Worker
  • Palm Harbor, FL
National Provider Identifier
1285921023
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10741 Issued in FL
Legal business name
MENTAL HEALTH RESOURCES PC
Practice address
2311 Alt 19
Suite # 1
Palm Harbor, FL 34683-2631
Phone
(727) 254-7388
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Norma Malis, LCSW
Title
President / Owner
Phone
(727) 254-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW10741 FL Primary

Addresses

Primary practice location

2311 Alt 19
Suite # 1
Palm Harbor, FL 34683-2631

Mailing address

PO Box 2038
New City, NY 10956-8638
Phone (845) 638-9079

National Provider Directory

National Provider Directory

Locations

2311 Alt 19
Ste 1
Palm Harbor, FL 34683
Phone (727) 254-7388

275 Rte 32
Central Valley, NY 10917
Phone (845) 928-1845

275 Rte 32
Central Valley, NY 10917
Phone (845) 928-1845

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1285921023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2038",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109568638",
            "telephone_number": "845-638-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ALT 19",
            "address_2": "SUITE # 1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832631",
            "telephone_number": "727-254-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH RESOURCES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MALIS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "727-254-7388",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.