Organization Active NPI

Pediatrics Plus, Inc.

  • Behavior Analyst
  • Lynn Haven, FL
National Provider Identifier
1861177545
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEDIATRICS PLUS, INC.
Practice address
301 W 26TH St
Lynn Haven, FL 32444-4713
Phone
(850) 769-5371
Fax
(850) 872-9558
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Mandy Walsingham
Title
Billing Dept Manager
Phone
(850) 769-5371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

301 W 26TH St
Lynn Haven, FL 32444-4713

Mailing address

301 W 26TH St
Lynn Haven, FL 32444-4713
Phone (850) 769-5371

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Plus6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

301 W 26th St
Lynn Haven, FL 32444
Phone (850) 769-5371

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1861177545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 26TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444713",
            "telephone_number": "850-769-5371",
            "fax_number": "850-872-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 26TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444713",
            "telephone_number": "850-769-5371",
            "fax_number": "850-872-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "WALSINGHAM",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "BILLING DEPT MANAGER",
        "authorized_official_telephone_number": "850-769-5371"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.