NPIMap

Organization Active NPI

Theracare Community Center, Inc.

  • Adult Mental Health Clinic/Center
  • Tamarac, FL
National Provider Identifier
1679905178
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MT 2758 Issued in FL
Legal business name
THERACARE COMMUNITY CENTER, INC.
Practice address
7481 W Oakland Park Blvd
Suite 302 C
Tamarac, FL 33319-4985
Phone
(954) 256-4601
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mr. Walter William Howard, M.S., LMFTNPI 1285051078
Title
Executive Director
Phone
(954) 256-4601

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MT 2758 FL
Community/Behavioral Health Agency 251S00000X MT 2758 FL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MT 2758 FL
Adult Mental Health Clinic/Center 261QM0850X MT 2758 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MT 2758 FL

Addresses

Primary practice location

7481 W Oakland Park Blvd
Suite 302 C
Tamarac, FL 33319-4985

Mailing address

5010 SW 19TH St
West Park, FL 33023-3271
Phone (954) 256-4601

National Provider Directory

National Provider Directory

Locations

7481 W Oakland Park Blvd
Ste 302
Tamarac, FL 33319
Phone (954) 256-4601

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1679905178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SW 19TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330233271",
            "telephone_number": "954-256-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD",
            "address_2": "SUITE 302 C",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-256-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE COMMUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-256-4601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MT 2758",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT 2758",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MT 2758",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MT 2758",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MT 2758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.