Organization Active NPI

Center for Wellness & Clinical Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
National Provider Identifier
1295346484
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTER FOR WELLNESS & CLINICAL DEVELOPMENT
Practice address
3803 Haines Rd N
St Petersburg, FL 33703-5625
Phone
(850) 339-3360
Fax
(850) 220-1536
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dr. Brittany PetersNPI 1780974394
Title
Owner/ Clinical Director
Phone
(850) 339-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3803 Haines Rd N
St Petersburg, FL 33703-5625

Mailing address

PO Box 22444
Tampa, FL 33622-2444

National Provider Directory

National Provider Directory

Locations

3803 Haines Rd N
St Petersburg, FL 33703
Phone (727) 373-6815

Practitioners & affiliated clinicians

Practitioners 2

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1295346484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22444",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336222444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 HAINES RD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035625",
            "telephone_number": "850-339-3360",
            "fax_number": "850-220-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS & CLINICAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "850-339-3360",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.