Active Community Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

IMH 9898 Issued in FL

Legal business name

ACTIVE COMMUNITY HEALTH CENTER

Practice address

1000 N Hiatus Rd
Suite 140
Pembroke Pines, FL 33026-3097

Phone

(954) 937-6306

Fax

(954) 450-2419

NPI assigned

Nov 1, 2014

Last updated

Nov 1, 2014By 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

Stephanie Wright Williams, M.ED

Title

Therapist

Phone

(954) 937-6306

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414800000000",
    "number": "1992100952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD",
            "address_2": "SUITE 140",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263097",
            "telephone_number": "954-937-6306",
            "fax_number": "954-450-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N HIATUS RD",
            "address_2": "SUITE 140",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263097",
            "telephone_number": "954-937-6306",
            "fax_number": "954-450-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-937-6306",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 9898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED MENTAL HEALTH COUNSELOR INTERN",
            "identifier": "IMH 9898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Acosta
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• Acticare LLC
• Action Physical Therapy LLC
• Action Physical Therapy, LLC
• Active Community Health Center Corp
• Acumed USA, P.a.
• Acupuncture and Herb Solutions
• Acupuncture Plus LLC
• Acupuncture Wellness Therapy Inc

• Community/Behavioral Health Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.