Child & Adult Psychiatry of Lakewood Ranch

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHILD & ADULT PSYCHIATRY OF LAKEWOOD RANCH

Practice address

5331 Paylor LN
Suite 200
Lakewood Ranch, FL 34240-2209

Phone

(941) 518-1265

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Collazo

Title

Office Manager

Phone

(941) 518-1265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1942653704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 PAYLOR LN",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402209",
            "telephone_number": "941-518-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PAYLOR LN",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402209",
            "telephone_number": "941-518-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & ADULT PSYCHIATRY OF LAKEWOOD RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-518-1265"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Champion
• Victor Chan
• Victoria Michele Defalco Charland, L.C.S.W.
• Veeraish Chauhan, MD, FACP, FASN
• Kei'Aunna Chavis
• Children's Orthopaedic & Scoliosis Surgery Associates, LLP
• Children's Psychological Services, LLC
• Joellen Chiusano, APRN
• Jennifer Michelle Chivas, RN, BSN, IBCLC
• Chosen Care. Inc.

• Adolescent and Children Mental Health Clinic/Center in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.