Active NPI
Child Advocacy Center
- Community/Behavioral Health Agency
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHILD ADVOCACY CENTER
- Practice address
- 3830 Evans Ave
Fort Myers, FL 33901-9305 - Phone
- (239) 939-4794
- NPI assigned
- Jan 10, 2013
- Last updated
- Jan 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Val Gill, M.A.
- Title
- Fa Director
- Phone
- (239) 939-2808
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | FL | Primary |
Addresses
Primary practice location
3830 Evans Ave
Fort Myers, FL 33901-9305
Mailing address
3830 Evans Ave
Fort Myers, FL 33901-9305
Phone (239) 939-4794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070980800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Child Advocacy Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fort Myers, FL
- NPI 1922433762
-
- Mental Health Counselor
- Fort Myers, FL
- NPI 1154324762
-
- Community/Behavioral Health Agency
- Fort Myers, FL
- NPI 1386708204
Locations
3830 Evans Ave
Fort Myers, FL 33901
Phone (239) 393-2808
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.
-
- Mental Health Counselor
- Fort Myers, FL
- NPI 1407003296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357776000000",
"number": "1730426719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019305",
"telephone_number": "239-939-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019305",
"telephone_number": "239-939-4794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD ADVOCACY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "VAL",
"authorized_official_title_or_position": "FA DIRECTOR",
"authorized_official_telephone_number": "239-939-2808",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070980800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Edward V Chiarello, D.D.S.
- Christian Camilo Chica Herrera, DMD
- Carlos Manuel Chica
- Wui Chien, MD
- Elizabeth A Chilcoat
- Children Advocacy Center
- Children's Advocacy Center of Southwest Florida
- Children's Advocacy Center of SW FL, Inc
- Children's Advocacy Center of SWFL
- Children's Autism Treatment Specialists, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.