NPIMap

Organization Active NPI

Life Transitions Inc

  • Psychiatry Physician
  • Port Charlotte, FL
National Provider Identifier
1992809289
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LIFE TRANSITIONS INC
Practice address
3505 Depew Circle
Port Charlotte, FL 33952
Phone
(941) 627-2100
Fax
(941) 627-6442
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mr. Jamrs S Demalo, MS,CAP
Title
President Owner
Phone
(941) 627-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X FL Primary

Addresses

Primary practice location

3505 Depew Circle
Port Charlotte, FL 33952

Mailing address

3505 Depew Ave
Port Charlotte, FL 33952-7016
Phone (941) 627-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1992809289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 DEPEW AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339527016",
            "telephone_number": "941-627-2100",
            "fax_number": "941-627-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 DEPEW CIRCLE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-627-2100",
            "fax_number": "941-627-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSITIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "DEMALO",
        "authorized_official_first_name": "JAMRS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "941-627-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,CAP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.