NPIMap

Organization Active NPI

Prescribed Pediatric Extended Care Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1790033256
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRESCRIBED PEDIATRIC EXTENDED CARE INC.
Practice address
4144 N Armenia Ave Ste 350
Tampa, FL 33607-6434
Phone
(813) 872-8521
Fax
(813) 200-3707
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Ms. Stephanie Rhiannon Wack
Title
Behavior Specialist
Phone
(727) 804-4748

Specialties & licenses 1

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

Addresses

Primary practice location

4144 N Armenia Ave Ste 350
Tampa, FL 33607-6434

Mailing address

4144 N Armenia Ave Ste 350
Tampa, FL 33607-6434
Phone (813) 872-8521

Other names 1

  • Pediatric Health Choice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Health Choice33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1790033256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076434",
            "telephone_number": "813-872-8521",
            "fax_number": "813-200-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076434",
            "telephone_number": "813-872-8521",
            "fax_number": "813-200-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIBED PEDIATRIC EXTENDED CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "WACK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RHIANNON",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "727-804-4748",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Health Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.