NPIMap

Organization Active NPI

Creekside Psychiatric Center

  • Case Management Agency
  • Pensacola, FL
National Provider Identifier
1730200023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
ME26830 Issued in FL
Legal business name
CREEKSIDE PSYCHIATRIC CENTER
Practice address
5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162
Phone
(850) 476-0977
Fax
(850) 476-2558
NPI assigned
Apr 3, 2007
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
R Scott Benson, M.D.
Title
Owner
Phone
(850) 476-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X ME26830 FL Primary

Addresses

Primary practice location

5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162

Mailing address

5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162
Phone (850) 476-0977

Other names 1

  • R. Scott Benson, M.D. Other name

National Provider Directory

National Provider Directory
Tax ID family
Creekside Psychiatric Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730200023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD STE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032162",
            "telephone_number": "850-476-0977",
            "fax_number": "850-476-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 BAYOU BLVD STE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032162",
            "telephone_number": "850-476-0977",
            "fax_number": "850-476-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-0977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "ME26830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R. Scott Benson, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, 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.