Organization Active NPI

Compassionate Care Management

  • Clinical Psychologist
  • Palmetto, FL
National Provider Identifier
1447837216
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COMPASSIONATE CARE MANAGEMENT
Practice address
2320 Terra Ceia Bay Blvd Unit 805
Palmetto, FL 34221-5905
Phone
(941) 250-8571
Fax
(941) 761-6811
NPI assigned
Mar 26, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Kimberly Edelman
Title
Practice Manager
Phone
(941) 250-8571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2320 Terra Ceia Bay Blvd Unit 805
Palmetto, FL 34221-5905

Mailing address

2320 Terra Ceia Bay Blvd Unit 805
Palmetto, FL 34221-5905
Phone (941) 250-8571

Other names 1

  • Compassionate Care Management Other name

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1447837216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 TERRA CEIA BAY BLVD UNIT 805",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215905",
            "telephone_number": "941-250-8571",
            "fax_number": "941-761-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 TERRA CEIA BAY BLVD UNIT 805",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215905",
            "telephone_number": "941-250-8571",
            "fax_number": "941-761-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "941-250-8571"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.