NPIMap

Organization Active NPI

Eckerd Youth Alternatives, Inc. Dba Eckerd Connects

  • Community/Behavioral Health Agency
  • Clearwater, FL
National Provider Identifier
1306114764
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS
Practice address
100 Starcrest Dr
Clearwater, FL 33765-3224
Phone
(727) 461-2990
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
David Dennis
Title
Ceo
Phone
(727) 461-2990

Specialties & licenses 1

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

Addresses

Primary practice location

100 Starcrest Dr
Clearwater, FL 33765-3224

Mailing address

100 Starcrest Dr
Clearwater, FL 33765-3224
Phone (727) 461-2990

Other identifiers 1

IdentifierTypeStateIssuer
360356314MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Eckerd Youth Alternatives Inc Dba Eckerd Connects13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1306114764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARCREST DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653224",
            "telephone_number": "727-461-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARCREST DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653224",
            "telephone_number": "727-461-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKERD YOUTH ALTERNATIVES, INC. DBA ECKERD CONNECTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-461-2990"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360356314",
            "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 Sep 10, 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.