Center of Resilience

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CENTER OF RESILIENCE

Practice address

1802 Elmwood Dr
Oldsmar, FL 34677

Phone

(727) 699-1900

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Danielle C Proch, LMHCNPI 1154813822

Title

MGR

Phone

(727) 699-1900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle C Proch, LMHC, NCC

  • Mental Health Counselor
  • Palm Harbor, FL
  • NPI 1154813822

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1992476758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 TAMPA RD",
            "address_2": "UNIT 1665",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "34677",
            "telephone_number": "727-699-1900",
            "fax_number": "727-699-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ELMWOOD DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "34677",
            "telephone_number": "727-699-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF RESILIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "PROCH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-699-1900",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brenda P Centeno, PT
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• Debra Charles, PMHNP
• Tara Suzanne Chedester, DPT
• Howard N Chipman III, M.D.
• Chiropractic Health Center Inc

• All providers in Oldsmar, FL
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.