Organization Active NPI

Mehravista Health

  • Case Management Agency
  • Palm Harbor, FL
National Provider Identifier
1669661831
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MH2348 Issued in FL
Legal business name
MEHRAVISTA HEALTH
Practice address
32196 US Highway 19 N
Suite B
Palm Harbor, FL 34684-3710
Phone
(727) 781-2007
NPI assigned
Oct 23, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mrs. Vicki B Davis, LMHC
Title
Chief Operating Officer
Phone
(727) 365-9634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MH2348 FL Primary

Addresses

Primary practice location

32196 US Highway 19 N
Suite B
Palm Harbor, FL 34684-3710

Mailing address

32196 US Highway 19 N
Suite B
Palm Harbor, FL 34684-3710
Phone (727) 781-2007

National Provider Directory

National Provider Directory

Locations

32196 US Highway 19 N
Ste B
Palm Harbor, FL 34684
Phone (727) 781-2007

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1669661831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32196 US HIGHWAY 19 N",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843710",
            "telephone_number": "727-781-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32196 US HIGHWAY 19 N",
            "address_2": "SUITE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843710",
            "telephone_number": "727-781-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAVISTA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-365-9634",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.