Johnnie B Byrd Sr Alzheimers Center and Research Institute

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 7429 Issued in FL

Legal business name

JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE

Practice address

4001 E Fletcher Ave
Tampa, FL 33613-4808

Phone

(813) 866-1611

Fax

(813) 866-1612

NPI assigned

Jun 29, 2007

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lilly Ho - Pehling

Title

Chief Operating Officer

Phone

(813) 866-1610

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1972700169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134808",
            "telephone_number": "813-866-1611",
            "fax_number": "813-866-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134808",
            "telephone_number": "813-866-1611",
            "fax_number": "813-866-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HO - PEHLING",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-866-1610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 7429",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME31300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BALEBAIL ASHOK RAJ, M.D.",
            "identifier": "ME31300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NANCY ANN TETEN, LCSW,CAP",
            "identifier": "SW 7429",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi John, BEHAVIOR TECHNICIAN
• Richard Douglas John, D.P.T
• Smitha Sarah John, CRNA
• Sonia John
• Natalie Ann Johnell, BS BT
• Johns Hopkins All Children's Hospital, Inc.
• Johns Hopkins All Children's Outpatient Care, Tampa
• Johns Hopkins All Childrens Urgent Care, Inc
• Kevin Johns Jr., PMHNP-BC
• Latricia Johns

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.