Spaulding,S Intake and Referral Agency Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1706AD895301 Issued in FL

Legal business name

SPAULDING,S INTAKE AND REFERRAL AGENCY INC.

Practice address

6151 Miramar Pkwy Ste 116
Miramar, FL 33023-3987

Phone

(954) 965-8292

Fax

(954) 965-8292

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By 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. Veneta Angela Burrell, MSW

Title

President/Ceo

Phone

(954) 965-8292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1972850626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY (SUITE 116)",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "954-965-8292",
            "fax_number": "954-965-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY STE 116",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233987",
            "telephone_number": "954-965-8292",
            "fax_number": "954-965-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDING,S INTAKE AND REFERRAL AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "VENETA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-965-8292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1706AD895301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.