Active NPI
Thaip Medical/Complexity Care LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casselberry, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THAIP MEDICAL/COMPLEXITY CARE LLC
- Practice address
- 336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370 - Phone
- (865) 213-2834
- NPI assigned
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jacob Read, PMHNP-BC
- Title
- Provider
- Phone
- (406) 860-5138
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370
Mailing address
336 Wilshire Blvd Ste 238-120
Casselberry, FL 32707-5370
Phone (865) 213-2834
Other practice location 1
1400 112th Ave SE
Bellevue, WA 98004-6901
Phone (406) 860-5138
Other practice location 2
814 Wesley Dr
Gatlinburg, TN 37738-3609
Phone (406) 860-5138
Other names 1
- COMPLEXITY CARE
National Provider Directory
National Provider DirectoryLocations
336 Wilshire Blvd
Ste 238120
Casselberry, FL 32707
Phone (865) 213-2834
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Casselberry, FL
- NPI 1245696392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1780458554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 WILSHIRE BLVD STE 238-120",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075370",
"telephone_number": "865-213-2834",
"fax_number": "835-213-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 WILSHIRE BLVD STE 238-120",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075370",
"telephone_number": "865-213-2834"
}
],
"practiceLocations": [
{
"address_1": "1400 112th Ave SE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980046901",
"country_code": "US",
"telephone_number": "406-860-5138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "814 Wesley Dr",
"address_purpose": "LOCATION",
"city": "Gatlinburg",
"state": "TN",
"postal_code": "377383609",
"country_code": "US",
"telephone_number": "406-860-5138",
"fax_number": "835-213-5169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THAIP MEDICAL/COMPLEXITY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "READ",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "406-860-5138",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COMPLEXITY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "COMPLEXITY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.