Vericare of Florida, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VERICARE OF FLORIDA, INC.

Doing business as

Vericare

Practice address

8181 Harcourt Rd
Indianapolis, IN 46260-2578

Phone

(800) 257-8715

Fax

(800) 819-1655

NPI assigned

Jun 8, 2006

Reactivated

Aug 8, 2007

Last updated

Jul 10, 2017By 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

Melissa King

Title

Director, Credentialing Enrollment

Phone

(800) 370-3651

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Vericare Doing business as

Locations

Practitioners 6

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.

• Yetta Christian

  • Administrator Registered Nurse
  • Ellettsville, IN
  • NPI 1275415572
  NPD (past)
• Kayla Davis, OTR

  • Occupational Therapist
  • Greenwood, IN
  • NPI 1093085136
  NPD (past)
• Sarah Lock, BS, MS, PT, DPT

  • Physical Therapist
  • Ellettsville, IN
  • NPI 1306260823
  NPD (past)
• Edgardo Arturo Grande, D.M.D.

  • General Practice Dentistry
  • Palm Beach, FL
  • NPI 1063439610
  NPD (past)
• Radhika Prakash, MD

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1669482170
  NPD (past)
• Danielle Sawyer, PTA

  • Physical Therapy Assistant
  • Oklahoma City, OK
  • NPI 1164788410
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1336189034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602578",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERICARE OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-07-10",
        "deactivation_date": "2007-04-11",
        "reactivation_date": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING ENROLLMENT",
        "authorized_official_telephone_number": "800-370-3651"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200805910A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE3412",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vericare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andie Veren, NP
• Erin Nehus Vergara, DPT
• Mary Verghese, MD
• Udana Dalise Vergnaud, OTR
• Bobbie Jo Vergo, OTD, OTR
• Verity Smile Studio, LLC
• Todd Michael Verity, P.T.
• Ranu Verma, DO
• Katelyn Vermilyer
• Michael Frederick Vermilyer, CMT, MMP

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.