Excellerated Teaching Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EXCELLERATED TEACHING CENTER

Practice address

5175 45TH St N
St Petersburg, FL 33714-2266

Phone

(727) 748-4060

Fax

(727) 748-4060

NPI assigned

Jun 17, 2021

Organization subpart

Yes

Parent organization

EXCELLERATED TEACHING CENTERAs reported in NPPES

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

Authorized official

Name

Robert Jones Hasbrouck

Title

Owner

Phone

(727) 748-4060

Specialties & licenses 2

Addresses

Tax ID family

Excellerated Teaching Center Inc3 organizations share this tax ID, including this one

Part of

Excellerated Teaching Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Excellerated Teaching Center, Inc.

  • Behavior Analyst
  • Orlando, FL
  • NPI 1942137252
  NPD tax ID
• Excellerated Teaching Center, Inc.

  • Behavior Analyst
  • Kendall, FL
  • NPI 1942626643
  NPD tax ID

Locations

Practitioners 1

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

• Kristina Zannis Duplantis, BCBA, SLPA

  • Specialist
  • St Petersburg, FL
  • NPI 1548615636
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1669040366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLERATED TEACHING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELLERATED TEACHING CENTER",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HASBROUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-748-4060"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excel Pain and Spine LLC
• Excel Physical Therapy
• Berny Excellent, M.D.
• Excellerated Facilitation Technologies
• Excellerated Teaching Academy
• Exceptional Dental of Saint Petersburg
• Express Air Medical Transport, LLC
• Express Aviation Services, Inc.
• Express Psych Care Inc
• Express Wheelchair Transport, LLC

• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.