North Florida Cares, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7246 Issued in FL

Legal business name

NORTH FLORIDA CARES, INC.

Practice address

1535 Killearn Center Blvd
Ste C-5
Tallahassee, FL 32309-3467

Phone

(850) 656-1192

Fax

(850) 386-1300

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Angela L. Henderson, PH.D.

Title

Owner/Lead Psychologist

Phone

(850) 656-1192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1497290407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MAHAN DR STE 20",
            "address_2": "PMB-2110",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085511",
            "telephone_number": "850-656-1192",
            "fax_number": "850-386-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 KILLEARN CENTER BLVD",
            "address_2": "STE C-5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093467",
            "telephone_number": "850-656-1192",
            "fax_number": "850-386-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA CARES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/LEAD PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-656-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767622100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colby Norris, PA
• James Norris
• Lori Sue Norris, ARNP
• North FL Regional Thyroid
• North Florida Cancer Center Tallahassee LLC
• North Florida Infectious Disease Associates LLC
• North Florida Medical Centers, Inc.
• North Florida Medical Centers, Inc.
• North Florida Mental Health, LLC
• North Florida Naturopathic, PLLC

• Clinical Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.