NPIMap

Organization Active NPI

Care Center for Mental Health

  • Public Health or Welfare Agency
  • Key West, FL
National Provider Identifier
1780786616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
47162-0028802 Issued in FL
Legal business name
CARE CENTER FOR MENTAL HEALTH
Practice address
1205 4TH St
Key West, FL 33040-3707
Phone
(305) 292-6843
NPI assigned
Sep 1, 2006
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
Dr. Michael Funk, PHD
Title
Executive Director
Phone
(305) 292-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 47162-0028802 FL Primary

Addresses

Primary practice location

1205 4TH St
Key West, FL 33040-3707

Mailing address

1205 4TH St
Key West, FL 33040-3707
Phone (305) 292-6843

Other identifiers 1

IdentifierTypeStateIssuer
77027MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Care Center for Mental Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780786616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 4TH ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403707",
            "telephone_number": "305-292-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 4TH ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403707",
            "telephone_number": "305-292-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-292-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "47162-0028802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77027",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, 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.