The McCrae House Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE MCCRAE HOUSE INC

Doing business as

McCrae Mental Health Services

Practice address

2624 E 29TH Ave
Tampa, FL 33605-1425

Phone

(813) 567-6168

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE MCCRAE HOUSE INCAs reported in NPPES

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

Authorized official

Name

Pertrice Perry, BANPI 1790367555

Title

Owner

Phone

(813) 567-6168

Specialties & licenses 1

Addresses

Other names 1

• McCrae Mental Health Services Doing business as

Part of

The McCrae House Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pertrice Perry

  • Behavior Analyst
  • Tampa, FL
  • NPI 1790367555
  NPD Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1932781796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 E 29TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051425",
            "telephone_number": "813-567-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 E 29TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336051425",
            "telephone_number": "813-567-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MCCRAE HOUSE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MCCRAE HOUSE INC",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "PERTRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-567-6168",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCrae Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.