John Chaffin, Ed.D., P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13783 Issued in FL

Legal business name

JOHN CHAFFIN, ED.D., P.A.

Practice address

2312 Wilton Dr Ste 24
Wilton Manors, FL 33305-1249

Phone

(954) 380-8823

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Chaffin, ED.D.NPI 1114353893

Title

Licensed Psychotherapist

Phone

(954) 380-8823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Chaffin, ED.D.

  • Mental Health Counselor
  • Wilton Manors, FL
  • NPI 1114353893
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503792000000",
    "number": "1861918260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WILTON DRIVE",
            "address_2": "SUITE 24",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-380-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WILTON DR STE 24",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051249",
            "telephone_number": "954-380-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CHAFFIN, ED.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-27",
        "status": "A",
        "authorized_official_last_name": "CHAFFIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "954-380-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Jeffers
• Jeffrey Shearer PA
• Katherine Brauss Jensen, OD
• Aretha Jester, OTR/L
• Joel Montgomery Therapist PA
• John Moushati, PA
• John W. Doran, LCSW PA
• Steven Johnson, LCSW
• Tod Johnston
• George James Kallas, PSY.D.

• Mental Health Counselor in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.