Robert Paul Fillingim, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROBERT PAUL FILLINGIM, LLC

Doing business as

Robert Paul Fillingim, LLC

Practice address

5200 Woodbine Rd
Pace, FL 32571-8715

Phone

(850) 529-1944

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert P Fillingim, MS, LMHCNPI 1962950030

Title

Owner

Phone

(850) 995-1544

Specialties & licenses 1

Addresses

Other names 1

• Robert Paul Fillingim, LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Robert Fillingim, LMHC

  • Counselor
  • Milton, FL
  • NPI 1962950030
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1770191967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 WINDERMERE TRCE",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719368",
            "telephone_number": "850-995-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718715",
            "telephone_number": "850-529-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PAUL FILLINGIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "FILLINGIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-995-1544",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robertfillingim@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5780 Windermere Trce",
            "city": "Pace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325719368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Robert Paul Fillingim, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard S. Slevinski, MD PA
• Candice Richard, LPN
• Thomas D Riney Jr., MD
• Robert a Althar MD
• Robert C Pyle MD LLC
• Katie Woodall Roberts, M.S., CF-SLP
• Tasia Robertson, PT
• Quincy Marcus Robinson, MASSAGE THERAPIST
• Terry B. Robinson, LPTA
• Mandy Josephine Rojas, L.M

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pace, FL
• Providers in Pace, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

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