NPIMap

Organization Active NPI

Florida Clinical Practice Association Inc

  • Community/Behavioral Health Agency
  • Gainesville, FL
National Provider Identifier
1477201622
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Practice address
4197 NW 86TH Ter FL 3
Gainesville, FL 32606-9278
Phone
(352) 265-4357
Fax
(352) 627-4161
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Marvin A. Dewar, MD
Title
Ceo
Phone
(352) 265-8309

Specialties & licenses 1

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

Addresses

Primary practice location

4197 NW 86TH Ter FL 3
Gainesville, FL 32606-9278

Mailing address

PO Box 13833
Philadelphia, PA 19101-3833
Phone (352) 265-7922

Other names 1

  • UF Health Child Psychiatry Springhill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Cinical Practic33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

4197 NW 86th Ter
Fl 3
Gainesville, FL 32606
Phone (352) 265-5404

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1477201622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13833",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013833",
            "telephone_number": "352-265-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 NW 86TH TER FL 3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326069278",
            "telephone_number": "352-265-4357",
            "fax_number": "352-627-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CLINICAL PRACTICE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-265-8309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF Health Child Psychiatry Springhill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UF Health Child Psychiatry Springhill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.