Organization Active NPI

Creative Clay, Inc.

  • Developmentally Disabled Services Day Training Agency
  • St Petersburg, FL
National Provider Identifier
1821391004
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
230558 Issued in FL
Legal business name
CREATIVE CLAY, INC.
Practice address
1124 Central Ave
Saint Petersburg, FL 33705-1651
Phone
(727) 825-0515
Fax
(727) 825-0525
NPI assigned
Dec 10, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Ms. Grace Anne Alfiero
Title
Founder and Executive Director
Phone
(727) 825-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 230558 FL Primary

Addresses

Primary practice location

1124 Central Ave
Saint Petersburg, FL 33705-1651

Mailing address

1124 Central Ave
Saint Petersburg, FL 33705-1651
Phone (727) 825-0515

National Provider Directory

National Provider Directory

Locations

1124 Central Ave
St Petersburg, FL 33705
Phone (727) 825-0515

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1821391004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051651",
            "telephone_number": "727-825-0515",
            "fax_number": "727-825-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051651",
            "telephone_number": "727-825-0515",
            "fax_number": "727-825-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CLAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "ALFIERO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "FOUNDER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-825-0515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "230558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.