Organization Active NPI

Coleen L Dooley Arnp PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Key West, FL
National Provider Identifier
1659496958
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
ARNP624842 Issued in FL
Legal business name
COLEEN L DOOLEY ARNP PA
Practice address
2409 N Roosevelt Blvd
Suite 6
Key West, FL 33040-3837
Phone
(305) 745-8215
NPI assigned
Mar 19, 2007
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Coleen L Dooley, ARNPNPI 1972660082
Title
Arnp
Phone
(305) 745-8215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ARNP624842 FL Primary

Addresses

Primary practice location

2409 N Roosevelt Blvd
Suite 6
Key West, FL 33040-3837

Mailing address

PO Box 420346
Summerland Key, FL 33042-0346
Phone (305) 745-8215

Other identifiers 3

IdentifierTypeStateIssuer
Y3409OtherFLBLUE CROSS BLUE SHIELD
1972660082OtherFLNPI TYPE 1
034293900MedicaidFL

National Provider Directory

National Provider Directory

Locations

2409 N Roosevelt Blvd
#6
Key West, FL 33040
Phone (305) 745-8215

2409 N Roosevelt Blvd
Ste 6
Key West, FL 33040
Phone (305) 745-8215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1659496958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420346",
            "city": "SUMMERLAND KEY",
            "state": "FL",
            "postal_code": "330420346",
            "telephone_number": "305-745-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 N ROOSEVELT BLVD",
            "address_2": "SUITE 6",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403837",
            "telephone_number": "305-745-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEEN L DOOLEY ARNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "305-745-8215",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ARNP624842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y3409",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1972660082",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034293900",
            "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 Oct 23, 2008; 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.