Organization Active NPI

KJ Therapeutic Learning Center, LLC

  • Clinic/Center
  • North Miami, FL
National Provider Identifier
1437762945
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KJ THERAPEUTIC LEARNING CENTER, LLC
Practice address
75 NE 132ND St
North Miami, FL 33161-4531
Phone
(941) 623-2677
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Gabrielle Saint Charles
Title
Administrator
Phone
(941) 623-2677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

75 NE 132ND St
North Miami, FL 33161-4531

Mailing address

75 NE 132ND St
North Miami, FL 33161-4531
Phone (941) 623-2677

Other practice location 1

2227 22nd St S
St Petersburg, FL 33712-3501
Phone (941) 623-2677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1437762945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NE 132ND ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614531",
            "telephone_number": "941-623-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NE 132ND ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614531",
            "telephone_number": "941-623-2677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 22nd St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337123501",
            "country_code": "US",
            "telephone_number": "941-623-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KJ THERAPEUTIC LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SAINT CHARLES",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-623-2677"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.