Agency for Community Treatment Services Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

SR29AD062613 Issued in FL

Legal business name

AGENCY FOR COMMUNITY TREATMENT SERVICES INC

Practice address

4612 N 56TH St
Tampa, FL 33610-7123

Phone

(813) 246-4899

Fax

(813) 621-6899

NPI assigned

May 5, 2006

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asha Pereyra

Title

Cep

Phone

(813) 246-4899

Specialties & licenses 11

Addresses

Other identifiers 7

Electronic endpoints 1

Tax ID family

Acts4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Acts

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1487904421
  NPD tax ID
• Agency for Community Treatment Services

  • Voluntary or Charitable Agency
  • Tampa, FL
  • NPI 1073883534
  NPD tax ID
• Agency for Community Treatment Services, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1104894914
  NPD tax ID

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1891743423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-246-4899",
            "fax_number": "813-621-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107123",
            "telephone_number": "813-246-4899",
            "fax_number": "813-621-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR COMMUNITY TREATMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "PEREYRA",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "813-246-4899"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062602",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062601",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062603",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062606",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062609",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062604",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062608",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062610",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062611",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062612",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "SR29AD062613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556510",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556511",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556509",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060556508",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfenske@actsfl.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "4612 N 56th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336107123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Agency for Community Treatment Services
• Agency for Community Treatment Services, Inc.
• Colin D Agerton
• Ashish Aggarwal, DO
• Kamran Aghayev, MD
• Sina Aghili-Mehrizi, MD

• Voluntary or Charitable Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.