Organization Active NPI

Tranquil Mind PLC

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1619223468
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10425 Issued in FL
Legal business name
TRANQUIL MIND PLC
Practice address
1858 N Alafaya TRL
Ste. 204
Orlando, FL 32826-4728
Phone
(407) 491-1818
Fax
(407) 745-0598
NPI assigned
Jul 31, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Peggy Ann Hightower, MSW, LCSW
Title
Owner
Phone
(407) 491-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW10425 FL Primary

Addresses

Primary practice location

1858 N Alafaya TRL
Ste. 204
Orlando, FL 32826-4728

Mailing address

PO Box 620321
Oviedo, FL 32762-0321
Phone (407) 491-1818

Other identifiers 1

IdentifierTypeStateIssuer
03982200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1858 N Alafaya Trl
Ste 204
Orlando, FL 32826
Phone (407) 491-1818

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1619223468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620321",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327620321",
            "telephone_number": "407-491-1818",
            "fax_number": "407-745-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 N ALAFAYA TRL",
            "address_2": "STE. 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264728",
            "telephone_number": "407-491-1818",
            "fax_number": "407-745-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL MIND PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-491-1818",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03982200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.