Chautauqua Offices of Psychotherapy and Evaluation, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0166AD9145-01 Issued in FL

Legal business name

CHAUTAUQUA OFFICES OF PSYCHOTHERAPY AND EVALUATION, INC.

Doing business as

C.O.P.E. Center

Practice address

3686 US Highway 331 S
Defuniak Springs, FL 32435-8463

Phone

(850) 892-8045

Fax

(850) 892-8039

NPI assigned

Oct 3, 2005

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel R Gillis, LCSW BCDNPI 1528054434

Title

Chief Executive Officer

Phone

(850) 892-8045

Specialties & licenses 1

Addresses

Other names 1

• C.O.P.E. Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Rodgers Gillis, LCSW BCD

  • Clinical Social Worker
  • Defuniak Springs, FL
  • NPI 1528054434
  Authorized official Same address or phone

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1801883160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324358463",
            "telephone_number": "850-892-8045",
            "fax_number": "850-892-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 US HIGHWAY 331 S",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324358463",
            "telephone_number": "850-892-8045",
            "fax_number": "850-892-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA OFFICES OF PSYCHOTHERAPY AND EVALUATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-892-8045",
        "authorized_official_credential": "LCSW BCD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "0166AD9145-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.O.P.E. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Wesley Cantrell, RPH
• Christina Faye Carnley, BCBA
• Daniel Carnley
• Alfredo Cartaya, MD
• Centanni Enterprises Inc (Medicine Shoppe)
• Chautauqua Springs Health Center LLC (Chautauqua Springs Health Center)
• Chuck Stevenson OD PA
• Cari B Cole, PHARMD
• Kellyanne Evans Collins
• Rachel Kyleen Collinsworth, RBT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.