NPIMap

Organization Active NPI

Emerald Coast Autism Center

  • Community/Behavioral Health Agency
  • Niceville, FL
National Provider Identifier
1972030617
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0177772 Issued in FL
Legal business name
EMERALD COAST AUTISM CENTER
Practice address
80 College Blvd E
Niceville, FL 32578-1343
Phone
(850) 279-3000
Fax
(850) 389-2269
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Beth Leeper
Title
Office Manager
Phone
(850) 279-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0177772 FL Primary

Addresses

Primary practice location

80 College Blvd E
Niceville, FL 32578-1343

Mailing address

80 College Blvd E
Niceville, FL 32578-1343
Phone (850) 279-3000

National Provider Directory

National Provider Directory
Tax ID family
Emerald Coast Autism Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 College Blvd E
Niceville, FL 32578
Phone (850) 279-3000

Practitioners & affiliated clinicians

Practitioners 134

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.

View all 134

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1972030617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 COLLEGE BLVD E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781343",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 COLLEGE BLVD E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781343",
            "telephone_number": "850-279-3000",
            "fax_number": "850-389-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-279-3000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0177772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.