Organization Active NPI

The Counseling Center of Key West Inc

  • Psychiatry Physician
  • Key West, FL
National Provider Identifier
1518036102
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME17888 Issued in FL
Legal business name
THE COUNSELING CENTER OF KEY WEST INC
Practice address
1111 12TH Street
Suite 206
Key West, FL 33040
Phone
(305) 294-8777
Fax
(305) 294-8298
NPI assigned
Nov 7, 2006
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Ronald Emile Ersay, MD
Title
Vice President
Phone
(305) 294-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME17888 FL Primary

Addresses

Primary practice location

1111 12TH Street
Suite 206
Key West, FL 33040

Mailing address

1111 12TH Street
Suite 206
Key West, FL 33040
Phone (305) 294-8777

Other identifiers 2

IdentifierTypeStateIssuer
96157OtherFLBCBS
Z002MOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1111 12th St
Ste 206
Key West, FL 33040
Phone (305) 294-8777

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1518036102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH STREET",
            "address_2": "SUITE 206",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-8777",
            "fax_number": "305-294-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH STREET",
            "address_2": "SUITE 206",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-8777",
            "fax_number": "305-294-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING CENTER OF KEY WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ERSAY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-294-8777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME17888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z002M",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.