NPIMap

Organization Active NPI

Brookwood Florida - Central, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • St Petersburg, FL
National Provider Identifier
1760486427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
0405-002-052 Issued in FL
Legal business name
BROOKWOOD FLORIDA - CENTRAL, INC
Practice address
901 7TH Ave S
St Petersburg, FL 33705-1901
Phone
(727) 822-4789
Fax
(727) 896-4475
NPI assigned
Jun 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deanette Elaine Monje, LMHCNPI 1932351194
Title
Program Director
Phone
(727) 822-4789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 0405-002-052 FL Primary

Addresses

Primary practice location

901 7TH Ave S
St Petersburg, FL 33705-1901

Mailing address

901 7TH Ave S
St Petersburg, FL 33705-1901
Phone (727) 822-4789

National Provider Directory

National Provider Directory
Tax ID family
Brookwood Florida Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760486427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 7TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051901",
            "telephone_number": "727-822-4789",
            "fax_number": "727-896-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 7TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051901",
            "telephone_number": "727-822-4789",
            "fax_number": "727-896-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD FLORIDA - CENTRAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONJE",
        "authorized_official_first_name": "DEANETTE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "727-822-4789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "0405-002-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.