Adoption Related Services of Pinellas
Organization Active NPI Community/Behavioral Health Agency · Pinellas Park, FL
NPI 1881757516 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1881757516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADOPTION RELATED SERVICES OF PINELLAS
- Practice address
- 3941 68TH Ave N
Pinellas Park, FL 33781 - Phone
- (727) 657-7761
- Fax
- (727) 865-5178
- NPI assigned
- Dec 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Natalie Cuddy, LCSW
- Title
- Executive Director
- Phone
- (727) 831-0483
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Adoption Related Services of Pinellas
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3941 68TH Ave N
Pinellas Park, FL 33781
Mailing address
3941 68TH Ave N
Pinellas Park, FL 33781-6136
Phone (727) 657-7761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076823500 | Medicaid | FL |
Other names
- Family Enrichment Services
NPI Registry JSON
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531785600000",
"number": "1881757516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941 68TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337816136",
"telephone_number": "727-657-7761",
"fax_number": "727-865-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 68TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "33781",
"telephone_number": "727-657-7761",
"fax_number": "727-865-5178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADOPTION RELATED SERVICES OF PINELLAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-17",
"last_updated": "2018-07-17",
"status": "A",
"authorized_official_last_name": "CUDDY",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "727-831-0483",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076823500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Enrichment Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Enrichment Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pinellas Park, FL
- Addiction and Psychiatric Care, LLC
- Mopelola Adejoke Adewunmi
- Jennifer Adkins
- Adoption Related Services of Pinellas
- Adoption Related Services of Pinellas
- Adult Care Housing, Inc
- Advanced Allergy & Asthma Care PA
- Advanced Gastro & Liver Care PA
- Advent Orthopedics and Neurosurgery PA
- Advocare DME, Inc.
All providers in Pinellas Park, FL · Community/Behavioral Health Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.