Canopy Cove

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

PY4363 Issued in FL

Legal business name

CANOPY COVE

Practice address

13305 Mahan Dr
Tallahassee, FL 32309-8698

Phone

(850) 893-8800

NPI assigned

Sep 30, 2008

Organization subpart

Yes

Parent organization

DR. LYNDA BROGDON PHDAs reported in NPPES

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

Authorized official

Name

Dr. Lynda A Brogdon, PHD

Title

Clinical Director

Phone

(850) 893-8800

Specialties & licenses 1

Addresses

Other names 1

• Health Management Institute Doing business as

Part of

Canopy Cove

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1487804142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323098698",
            "telephone_number": "850-893-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323098698",
            "telephone_number": "850-893-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY COVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. LYNDA BROGDON PHD",
        "enumeration_date": "2008-09-30",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "850-893-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "PY4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Management Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Levonne Camps, MD
• Brooke Anna Canada, M.S., CF-SLP
• Michelle Catherine Cangialosi, DPT
• Mark E Cannella
• Canopy Counseling & Consulting LLC
• Canopy Pines Recovery LLC
• Margaret Canter, ARNP,CNM
• Angela Canto, PHD
• Staci Cantrell, RMHCI
• Amanda Elizabeth Capece, QS-LMHC, ED.S, MS

• Psychiatric Residential Treatment Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychiatric Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.