Organization Active NPI

Tranquil Haven

  • Child & Adolescent Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1396541686
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
TRANQUIL HAVEN
Practice address
3425 Bannerman Rd Ste 105-217
Tallahassee, FL 32312-7062
Phone
(850) 567-9707
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Petronella Taku Bell, M.DNPI 1861768392
Title
Ceo/ President
Phone
(614) 961-5144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

3425 Bannerman Rd Ste 105-217
Tallahassee, FL 32312-7062

Mailing address

3425 Bannerman Rd Ste 105-217
Tallahassee, FL 32312-7062
Phone (850) 567-9707

National Provider Directory

National Provider Directory

Locations

3425 Bannerman Rd
Ste 105217
Tallahassee, FL 32312
Phone (850) 567-9707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1396541686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BANNERMAN RD STE 105-217",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127062",
            "telephone_number": "850-567-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 BANNERMAN RD STE 105-217",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127062",
            "telephone_number": "850-567-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "PETRONELLA",
        "authorized_official_middle_name": "TAKU",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "614-961-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.