Organization Active NPI

Stephanie's Family

  • Community/Behavioral Health Agency
  • Lake Worth, FL
National Provider Identifier
1588087951
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STEPHANIE'S FAMILY
Practice address
3613 Coconut Rd
Lake Worth, FL 33461-3585
Phone
(561) 502-0305
Fax
(772) 872-5287
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. Dexter D Head
Title
Pracitice Manager
Phone
(772) 219-4041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3613 Coconut Rd
Lake Worth, FL 33461-3585

Mailing address

3613 Coconut Rd
Lake Worth, FL 33461-3585
Phone (561) 502-0305

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1588087951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 COCONUT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613585",
            "telephone_number": "561-502-0305",
            "fax_number": "772-872-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 COCONUT RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613585",
            "telephone_number": "561-502-0305",
            "fax_number": "772-872-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE'S FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACITICE MANAGER",
        "authorized_official_telephone_number": "772-219-4041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.