Reins Inspiring Change Equine Therapy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

MH12573 Issued in FL

Legal business name

REINS INSPIRING CHANGE EQUINE THERAPY

Practice address

3189 Tropicaire Blvd
North Port, FL 34286-7119

Phone

(941) 626-0214

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Delores Tricarico, BA

Title

President/Ceo

Phone

(941) 626-0214

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Petrosky, EDD, PHD; LMHC

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1437585098
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1548753544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 TROPICAIRE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867119",
            "telephone_number": "941-626-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3189 TROPICAIRE BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867119",
            "telephone_number": "941-626-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINS INSPIRING CHANGE EQUINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "TRICARICO",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "941-626-0214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12573",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MH12573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Rau
• Amanda Ravins
• Ana Cristina Rearte, M.D.
• Monalisa Kaytrina Reckley, CNA/MEDICATION TECH.
• Kalyani Regeti, MD
• Remarkable Senior Transport, LLC
• Hilda Reyes
• Maikol Reyes
• Alisha Renee Reynolds
• Regina Ann Rhoades, LCSW

• Adolescent and Children Mental Health Clinic/Center in North Port, FL
• Providers in North Port, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.