Active NPI
Trucare Telemental Health PLLC
- Psychiatry Physician
- Eglin AFB, FL
National Provider Identifier
1669159174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- TRUCARE TELEMENTAL HEALTH PLLC
- Practice address
- 732 Flagler Road.
Eglin AFB, FL 32542 - Phone
- (850) 821-2936
- NPI assigned
- Jun 28, 2023
- Last updated
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachael Flint
- Title
- Pmhnp, Owner
- Phone
- (701) 552-1508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
732 Flagler Road.
Eglin AFB, FL 32542
Mailing address
4516 E Highway 20 # 3075
Niceville, FL 32578-9755
Phone (850) 821-2936
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Valparaiso, FL
- NPI 1477107944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1669159174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 E HIGHWAY 20 # 3075",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325789755",
"telephone_number": "850-821-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 FLAGLER ROAD.",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "32542",
"telephone_number": "850-821-2936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUCARE TELEMENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "FLINT",
"authorized_official_first_name": "RACHAEL",
"authorized_official_title_or_position": "PMHNP, OWNER",
"authorized_official_telephone_number": "701-552-1508"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eglin AFB, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.