NPIMap

Organization Active NPI

Gulf Coast Jewish Family Services

  • Community/Behavioral Health Agency
  • Clearwater, FL
National Provider Identifier
1295944601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GULF COAST JEWISH FAMILY SERVICES
Practice address
14041 Icot Blvd
Clearwater, FL 33760-3702
Phone
(727) 479-1800
Fax
(727) 479-1248
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diana Robertson
Title
Cfo
Phone
(727) 479-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14041 Icot Blvd
Clearwater, FL 33760-3702

Mailing address

14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 479-1800

Other identifiers 1

IdentifierTypeStateIssuer
686094001MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Jewish Family Services25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295944601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-479-1800",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-479-1800",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST JEWISH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-479-1800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686094001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.