Organization Active NPI

Colorful Journey Telepsychiatry, L.L.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1740043876
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COLORFUL JOURNEY TELEPSYCHIATRY, L.L.C.
Practice address
113 South Monroe Street
1St Floor
Tallahassee, FL 32301
Phone
(850) 775-9345
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Claire Joy Tiglad, DNP, APRN
Title
Psychiatric Mental Health Nurse Pra
Phone
(850) 775-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

113 South Monroe Street
1St Floor
Tallahassee, FL 32301

Mailing address

113 South Monroe Street
1St Floor
Tallahassee, FL 32301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310002817 FL Part B Supplier - Clinic/Group Practice 8426531393 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL; Panama City, FL

National Provider Directory

National Provider Directory

Locations

14101 Panama City Beach Pkwy
Fl 3
Panama City Beach, FL 32413
Phone (904) 712-5158

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": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1740043876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SOUTH MONROE STREET",
            "address_2": "1ST FLOOR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTH MONROE STREET",
            "address_2": "1ST FLOOR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-775-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORFUL JOURNEY TELEPSYCHIATRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "TIGLAD",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "850-775-9345",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.