Organization Active NPI

Therapetee, PLC

  • Marriage & Family Therapist
  • Stuart, FL
National Provider Identifier
1801379805
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THERAPETEE, PLC
Practice address
672 SE Monterey Rd
Stuart, FL 34994-4410
Phone
(772) 708-2830
Fax
(772) 237-3750
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Petrina McGowen, LMFTNPI 1942466941
Title
Owner/Provider
Phone
(772) 708-2830

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

672 SE Monterey Rd
Stuart, FL 34994-4410

Mailing address

3768 NE Melba Dr
Jensen Beach, FL 34957-3867
Phone (772) 708-2830

Other names 1

  • Petrina McGowen Other name

National Provider Directory

National Provider Directory

Locations

672 SE Monterey Rd
Stuart, FL 34994
Phone (772) 708-2830

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": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1801379805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 NE MELBA DR",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573867",
            "telephone_number": "772-708-2830",
            "fax_number": "772-237-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 SE MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944410",
            "telephone_number": "772-708-2830",
            "fax_number": "772-237-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPETEE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "MCGOWEN",
        "authorized_official_first_name": "PETRINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "772-708-2830",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petrina McGowen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.