Organization Active NPI

Turning Point Center for Psychological and Family Growth LLC

  • Clinical Psychologist
  • Fort Walton Beach, FL
National Provider Identifier
1962532572
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TURNING POINT CENTER FOR PSYCHOLOGICAL AND FAMILY GROWTH LLC
Practice address
404 Barataria LN
Fort Walton Beach, FL 32547-3698
Phone
(850) 243-8086
Fax
(850) 243-2702
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Authorized official

Name
Dr. Dlane Sally Miller, PH.D.NPI 1124098504
Title
President
Phone
(850) 243-8086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

404 Barataria LN
Fort Walton Beach, FL 32547-3698

Mailing address

404 Barataria LN
Fort Walton Beach, FL 32547-3698
Phone (850) 243-8086

Other practice location 1

124 E Miracle Strip Pkwy Ste 302
Mary Esther, FL 32569-1990
Phone (850) 243-8086

Other identifiers 1

IdentifierTypeStateIssuer
94705OtherBLUE CROSS BLUE SHIELD

Other names 3

  • Turning Point Doing business as
  • Turning Point Center Doing business as
  • Turning Point Center for Psychological and Family Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000017 FL Part B Supplier - Clinic/Group Practice 0143406074 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Walton Beach, FL

National Provider Directory

National Provider Directory

Locations

124 E Miracle Strip Pkwy
Ste 302
Mary Esther, FL 32569
Phone (850) 243-8086

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733616000000",
    "number": "1962532572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BARATARIA LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473698",
            "telephone_number": "850-243-8086",
            "fax_number": "850-243-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BARATARIA LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473698",
            "telephone_number": "850-243-8086",
            "fax_number": "850-243-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Miracle Strip Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Mary Esther",
            "state": "FL",
            "postal_code": "325691990",
            "country_code": "US",
            "telephone_number": "850-243-8086",
            "fax_number": "850-243-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TURNING POINT CENTER FOR PSYCHOLOGICAL AND FAMILY GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DLANE",
        "authorized_official_middle_name": "SALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-243-8086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94705",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turning Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Turning Point Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Turning Point Center for Psychological and Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.