NPIMap

Organization Active NPI

Reconnection Services

  • Community/Behavioral Health Agency
  • Valrico, FL
National Provider Identifier
1417208356
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RECONNECTION SERVICES
Practice address
212 S Saint Cloud Ave
Valrico, FL 33594-3992
Phone
(813) 716-3996
NPI assigned
Oct 1, 2012
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Reba Haley, DOCCNPI 1831446509
Title
President
Phone
(813) 716-3996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

212 S Saint Cloud Ave
Valrico, FL 33594-3992

Mailing address

6321 US Highway 301 S
Riverview, FL 33578-3850
Phone (813) 716-3996

National Provider Directory

National Provider Directory

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": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1417208356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783850",
            "telephone_number": "813-716-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SAINT CLOUD AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943992",
            "telephone_number": "813-716-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONNECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "REBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-716-3996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.