Starfish Psychiatric Services PL

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS 8859 Issued in FL

Legal business name

STARFISH PSYCHIATRIC SERVICES PL

Practice address

68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331

Phone

(850) 243-7035

Fax

(850) 243-8529

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Charina E Perez

Title

Office Manager

Phone

(850) 243-7035

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Annetta M. G. Davenport, LMHC

  • Mental Health Counselor
  • Mary Esther, FL
  • NPI 1710294749
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396834024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325490879",
            "telephone_number": "850-243-7035",
            "fax_number": "850-243-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BEAL PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485331",
            "telephone_number": "850-243-7035",
            "fax_number": "850-243-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH PSYCHIATRIC SERVICES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CHARINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-243-7035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS 8859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "71705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francia Tatiana Squatrito, DPM
• SS Okaloosa Community HC LLC
• St Simons Counseling Center
• Robyn J Stakley, PHARM.D.
• Kimberly Standefer, FNP-BC
• M. Catherine Starkey, PT
• Acie Starling, MS, CF-SLP
• Mary Ann Steele, LPN
• Stein Eye Care, Inc.
• Karen Sherrill Stein, MD

• Psychiatry Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.