NPIMap

Organization Active NPI

Disc Village, Inc.

  • Community/Behavioral Health Agency
  • Perry, FL
National Provider Identifier
1760722771
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0237AD133807 Issued in FL
Legal business name
DISC VILLAGE, INC.
Practice address
1012 S Jefferson St
Perry, FL 32348-4605
Phone
(850) 584-5613
Fax
(850) 584-5687
NPI assigned
Feb 28, 2013
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Melissa Skipton
Title
Qa Director
Phone
(850) 766-1251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0237AD133807 FL Primary

Addresses

Primary practice location

1012 S Jefferson St
Perry, FL 32348-4605

Mailing address

3333 W Pensacola St
Suite 330
Tallahassee, FL 32304-2888
Phone (850) 575-4388

National Provider Directory

National Provider Directory
Tax ID family
Disc Village Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1012 S Jefferson St
Perry, FL 32348
Phone (850) 584-5613

Practitioners & affiliated clinicians

Practitioners 2

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1760722771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W PENSACOLA ST",
            "address_2": "SUITE 330",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323042888",
            "telephone_number": "850-575-4388",
            "fax_number": "850-576-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323484605",
            "telephone_number": "850-584-5613",
            "fax_number": "850-584-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISC VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "SKIPTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "QA DIRECTOR",
        "authorized_official_telephone_number": "850-766-1251"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0237AD133807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.