Icm Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4013A Issued in FL

Legal business name

ICM ASSOCIATES, INC.

Practice address

900 Carillon Pkwy
Suite 301
Saint Petersburg, FL 33716-1115

Phone

(727) 392-5600

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Dianne Caravella, CAC, NCAC1, BRI-1

Title

Ceo

Phone

(727) 392-5600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1750573135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15454 1ST ST E",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337081803",
            "telephone_number": "727-392-5600",
            "fax_number": "727-499-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 301",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-392-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICM ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "CARAVELLA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-392-5600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAC, NCAC1, BRI-1"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "4013A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.