NPIMap

Organization Active NPI

Csi-Pediatric Services, LLC.

Doing business as CSI Special Care

  • Health Service Clinic/Center
  • Palm Springs, FL
National Provider Identifier
1366828394
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CSI-PEDIATRIC SERVICES, LLC.
Doing business as
CSI Special Care
Practice address
1720 S Congress Ave
Palm Springs, FL 33461-2140
Phone
(305) 967-0854
NPI assigned
Jul 31, 2015
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Donna Lodato, RN
Title
Ceo
Phone
(786) 522-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1720 S Congress Ave
Palm Springs, FL 33461-2140

Mailing address

15050 NW 79TH CT Ste 201
Miami Lakes, FL 33016-5810
Phone (786) 522-9600

Other identifiers 1

IdentifierTypeStateIssuer
024133000MedicaidFL

Other names 2

  • CSI Special Care Doing business as
  • Spark Pediatrics Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donnal@sparkpediatrics.com

National Provider Directory

National Provider Directory
Tax ID family
Csi Special Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

15050 NW 79th Ct
Ste 201
Miami Lakes, FL 33016

1720 S Congress Ave
Palm Springs, FL 33461
Phone (240) 388-7387

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1366828394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 NW 79TH CT STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165810",
            "telephone_number": "786-522-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612140",
            "telephone_number": "305-967-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI-PEDIATRIC SERVICES, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC HOLDINGS, LLC",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LODATO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-522-9600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024133000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnal@sparkpediatrics.com",
            "affiliation": "N",
            "address_1": "1720 S Congress Ave",
            "city": "Palm Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334612140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CSI Special Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CSI Special Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spark Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.