Organization Active NPI

Northwest Florida Comprehensive Services for Children, Inc.

  • Voluntary or Charitable Agency
  • Pensacola, FL
National Provider Identifier
1962549659
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
NORTHWEST FLORIDA COMPREHENSIVE SERVICES FOR CHILDREN, INC.
Practice address
3401 N 12TH Ave
Pensacola, FL 32503-4008
Phone
(850) 595-5810
Fax
(850) 595-5813
NPI assigned
Jan 31, 2007
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Catherine Jordan
Title
Executive Director
Phone
(850) 474-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

3401 N 12TH Ave
Pensacola, FL 32503-4008

Mailing address

4400 Bayou Blvd
Suite #46
Pensacola, FL 32503-2673
Phone (850) 474-3696

National Provider Directory

National Provider Directory

Locations

3401 N 12th Ave
Pensacola, FL 32503
Phone (850) 595-5800

4400 Bayou Blvd
Ste 46
Pensacola, FL 32503

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1962549659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD",
            "address_2": "SUITE #46",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032673",
            "telephone_number": "850-474-3696",
            "fax_number": "850-474-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034008",
            "telephone_number": "850-595-5810",
            "fax_number": "850-595-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FLORIDA COMPREHENSIVE SERVICES FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-474-3696"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.