NPIMap

Organization Active NPI

Personal Enrichment Through Mental Health Services, Inc

Doing business as Pemhs

  • Community/Behavioral Health Agency
  • St Petersburg, FL
National Provider Identifier
1396077566
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES, INC
Doing business as
Pemhs
Practice address
400 15TH St N
St Petersburg, FL 33705-2018
Phone
(727) 545-6477
Fax
(727) 545-6464
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mr. Gerald Wennlund
Title
Cheif Operating Officer
Phone
(727) 545-6477

Specialties & licenses 1

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

Addresses

Primary practice location

400 15TH St N
St Petersburg, FL 33705-2018

Mailing address

400 15TH St N
St Petersburg, FL 33705-2018
Phone (727) 552-1053

Other names 1

  • PEMHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Enrichment for Mental Health Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

400 15th St N
St Petersburg, FL 33705
Phone (727) 545-6477

Practitioners & affiliated clinicians

Practitioners 2

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": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1396077566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 15TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052018",
            "telephone_number": "727-552-1053",
            "fax_number": "727-552-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 15TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337052018",
            "telephone_number": "727-545-6477",
            "fax_number": "727-545-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ENRICHMENT THROUGH MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "WENNLUND",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-545-6477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.