Chanda Petin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

220 W Brandon Blvd Ste 204
Brandon, FL 33511-5100

Phone

(727) 346-8350

NPI assigned

Mar 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1902665243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273493",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336883493",
            "telephone_number": "727-346-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD STE 204",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115100",
            "telephone_number": "727-346-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIN",
        "first_name": "CHANDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Pestana
• Linda J Petek, APRN
• Shelbi Peters
• Jada Rheni Peterson
• Katelyn Peterson, BCBA
• Theodore Petridis
• Olivera Petrovich
• Keri Petys, PTA
• Lee Nguyen Phan, D.O.
• Pharmclinic Two LLC

• All providers in Brandon, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.