CDS Family & Behavioral Health Services, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC.

Practice address

1218 NW 6TH St
Gainesville, FL 32601-4245

Phone

(352) 244-0628

Fax

(352) 334-3817

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Samuel P ClarkNPI 1265742001

Title

Chief Operations Officer

Phone

(352) 244-0628

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel P. Clark, LMH

  • Mental Health Counselor
  • NPI 1265742001
  NPD (past) Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1306843859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-244-0628",
            "fax_number": "352-334-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-244-0628",
            "fax_number": "352-334-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "352-244-0628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Christina Caudle, FNP
• Joseph Claud Cauthen III, MD
• Christopher Michael Cavazos, MD
• Joie Otto Cavazos, MD
• Makayla Cazzell
• John Eric Cebak, DO, PHD
• Katherine Mary Cecchini, MA
• Stephenie Cecil Cecil
• Alexis Cedeno, DO
• Maria Cedeno

• Public Health or Welfare Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.