Organization Active NPI

Child Advocacy Center

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1730426719
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Val Gill, M.A.NPI 1407003296
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
070980800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Child Advocacy Center4 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.

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.

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

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.

Verify at the official NPI Registry.