NPIMap

Organization Active NPI

Camgen Inc

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1851564371
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5958 Issued in FL
Legal business name
CAMGEN INC
Practice address
111 2ND Ave NE
Suite 511
St Petersburg, FL 33701-3434
Phone
(727) 244-6536
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Ms. Camille Elizabeth Skluzacek, MS LMHC
Title
President
Phone
(727) 244-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5958 FL Primary

Addresses

Primary practice location

111 2ND Ave NE
Suite 511
St Petersburg, FL 33701-3434

Mailing address

2828 Skimmer Point Dr S
Gulfport, FL 33707-3942
Phone (727) 244-6536

National Provider Directory

National Provider Directory

Locations

111 2nd Ave NE
Ste 511
St Petersburg, FL 33701
Phone (727) 439-0462

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1851564371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 SKIMMER POINT DR S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073942",
            "telephone_number": "727-244-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND AVE NE",
            "address_2": "SUITE 511",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013434",
            "telephone_number": "727-244-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMGEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SKLUZACEK",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-244-6536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "5958",
            "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 Apr 4, 2008; 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.