NPIMap

Organization Active NPI

Care Center for Mental Health

  • Clinical Psychologist
  • Tavernier, FL
National Provider Identifier
1710084165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3007 Issued in FL
Legal business name
CARE CENTER FOR MENTAL HEALTH
Practice address
921140 Overseas Highway
Tavernier, FL 33070-2100
Phone
(305) 853-3284
Fax
(305) 853-3286
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J Funk, PH.D.NPI 1407918253
Title
Executive Director
Phone
(395) 853-3284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3007 FL Primary

Addresses

Primary practice location

921140 Overseas Highway
Tavernier, FL 33070-2100

Mailing address

921140 Overseas Highway
Tavernier, FL 33070-2100
Phone (305) 853-3284

National Provider Directory

National Provider Directory
Tax ID family
Care Center for Mental Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710084165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921140 OVERSEAS HIGHWAY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702100",
            "telephone_number": "305-853-3284",
            "fax_number": "305-853-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921140 OVERSEAS HIGHWAY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702100",
            "telephone_number": "305-853-3284",
            "fax_number": "305-853-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "395-853-3284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.