NPIMap

Organization Active NPI

Gulf Coast Jewish Family and Community Services, Inc.

  • Community/Behavioral Health Agency
  • Clearwater, FL
National Provider Identifier
1740483833
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.
Practice address
14041 Icot Blvd
Clearwater, FL 33760
Phone
(727) 450-7269
Fax
(727) 479-1248
NPI assigned
Jun 7, 2007
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Carolyn Jimenez Yandek
Title
Director Credentialing/Billing
Phone
(727) 430-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14041 Icot Blvd
Clearwater, FL 33760

Mailing address

14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 479-1800

Other identifiers 1

IdentifierTypeStateIssuer
060569700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Jewish Family Services25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

201 NE 40th Ct
Oakland Park, FL 33334
Phone (954) 630-4181

Practitioners & affiliated clinicians

Practitioners 8

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1740483833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603702",
            "telephone_number": "727-479-1800",
            "fax_number": "727-479-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 ICOT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33760",
            "telephone_number": "727-450-7269",
            "fax_number": "727-479-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST JEWISH FAMILY AND COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "YANDEK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING/BILLING",
        "authorized_official_telephone_number": "727-430-3291"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060569700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.