Centre for Integrative and Holistic Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRE FOR INTEGRATIVE AND HOLISTIC MEDICINE

Doing business as

Brain, Gut and ADHD Center

Practice address

528 W Baldwin Rd
Panama City, FL 32405-3313

Phone

(850) 777-3250

Fax

(850) 522-5925

NPI assigned

Mar 29, 2018

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rubina Azam, MDNPI 1689639114

Title

Owner

Phone

(850) 819-4723

Specialties & licenses 2

Addresses

Other names 1

• Brain, Gut and ADHD Center Doing business as

Practitioners 4

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.

• Rubina Azam, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1689639114
  NPD (past) Authorized official
• Abdul Waheed, DMD

  • Dentist
  • Panama City, FL
  • NPI 1538206123
  NPD
• Khaled Mohammed Al-Farawi, MD

  • Pediatrics Physician
  • Panama City, FL
  • NPI 1669887139
  NPD (past)
• Stephanie Casella, MD

  • Pediatric Sports Medicine Physician
  • Austin, TX
  • NPI 1518462639
  NPD (past)

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1295230258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-819-4723",
            "fax_number": "850-481-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-777-3250",
            "fax_number": "850-522-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE FOR INTEGRATIVE AND HOLISTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-819-4723",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain, Gut and ADHD Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Cavanaugh, MSW
• Cbo in-Home, Inc. (Options Provider Cooperative)
• Rachel Leigh Centeno, PA-C
• Brian C Center, M.D.
• Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
• Cep America LLC
• Alfeo Cervantes II, M.T.
• Adil Ceydeli, MD
• Quin E Chadwick, ARNP
• Amber Jaquise Chambers

• Health Service Clinic/Center in Panama City, FL
• Providers in Panama City, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.