NPIMap

Organization Active NPI

Circles of Care, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Bay, FL
National Provider Identifier
1689059719
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1805AS155311 Issued in FL
Legal business name
CIRCLES OF CARE, INC.
Practice address
2061 Harbor Ave NE
Palm Bay, FL 32905-3114
Phone
(321) 722-5200
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CIRCLES OF CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Fallon Derosa
Title
HR Manager
Phone
(321) 722-5273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1805AS155311 FL Primary

Addresses

Primary practice location

2061 Harbor Ave NE
Palm Bay, FL 32905-3114

Mailing address

400 Sheridan Rd
Melbourne, FL 32901-3122
Phone (321) 722-5200

Other names 1

  • Sally's House Other name

National Provider Directory

National Provider Directory
Tax ID family
Circles of Care Inc12 organizations share this tax ID, including this one
Part of
Circles of Care Inc

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1689059719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013122",
            "telephone_number": "321-722-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HARBOR AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053114",
            "telephone_number": "321-722-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLES OF CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIRCLES OF CARE, INC.",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "FALLON",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "321-722-5273"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "1805AS155311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally's House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.