Organization Active NPI

Thaip Medical/Complexity Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casselberry, FL
National Provider Identifier
1780458554
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Mr. Jacob Read, PMHNP-BCNPI 1245696392
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.