Organization Active NPI

KCC Health Care

  • Behavior Analyst
  • Pinellas Park, FL
National Provider Identifier
1700379252
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KCC HEALTH CARE
Practice address
6371 76TH Ave N
Pinellas Park, FL 33781-3153
Phone
(727) 258-4847
NPI assigned
Jun 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Karelia Carralero CorellaNPI 1467093740
Title
Onwer
Phone
(786) 663-5171

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MA60371 FL

Addresses

Primary practice location

6371 76TH Ave N
Pinellas Park, FL 33781-3153

Mailing address

6371 76TH Ave N
Pinellas Park, FL 33781-3153
Phone (727) 258-4847

National Provider Directory

National Provider Directory

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": "1528588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1700379252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6371 76TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813153",
            "telephone_number": "727-258-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 76TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813153",
            "telephone_number": "727-258-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-10",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "CARRALERO CORELLA",
        "authorized_official_first_name": "KARELIA",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "786-663-5171"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "MA60371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.