NPIMap

Organization Active NPI

Canopy Cove

Doing business as Health Management Institute

  • Psychiatric Residential Treatment Facility
  • Tallahassee, FL
National Provider Identifier
1487804142
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
PY4363 Issued in FL
Legal business name
CANOPY COVE
Doing business as
Health Management Institute
Practice address
13305 Mahan Dr
Tallahassee, FL 32309-8698
Phone
(850) 893-8800
NPI assigned
Sep 30, 2008
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. LYNDA BROGDON PHDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Dr. Lynda A Brogdon, PHDNPI 1669401865
Title
Clinical Director
Phone
(850) 893-8800

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
Psychiatric Residential Treatment Facility 323P00000X PY4363 FL Primary

Addresses

Primary practice location

13305 Mahan Dr
Tallahassee, FL 32309-8698

Mailing address

13305 Mahan Dr
Tallahassee, FL 32309-8698
Phone (850) 893-8800

Other names 1

  • Health Management Institute Doing business as

National Provider Directory

National Provider Directory
Part of
Canopy Cove

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": "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"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • 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.