21 VETS INCORPORATED


Address: 4908 Fauna Dr, Melbourne, FL 32934-7847
Phone: 7033097417

21 VETS INCORPORATED (NPI# 1063022317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063022317
Entity Type Organization
Organization Name 21 VETS INCORPORATED
Practice Address 4908 Fauna Dr
Melbourne
FL 32934-7847
Practice Telephone 7033097417
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Authorized Official Name DANIEL J PIPPIN (PRESIDENT)
Authorized Official Telephone 7033097417
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
Nursing Service Providers
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers

Office Location

Street Address 4908 FAUNA DR
City MELBOURNE
State FL
Zip Code 32934-7847

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013530419 Ryan Thomas Kammerdener Pharmacist 3003 Bay Wind Ct, Melbourne, FL 32934 2020-05-20
1558833731 Deborah J Gaffney Specialist/Technologist 3060 Kershaw Court, Melbourne, FL 32934 2018-12-27
1548703200 Damaris Escarment Counselor 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 2016-11-29
1447686324 Sarai Escarment Counselor 3550 W Eau Gallie Blvd, Melbourne, FL 32934 2013-09-23
1871874974 Felipe E. Dominguez, Md, Pa Clinical Medical Laboratory 3030 Venture Lane, Ste 108, Melbourne, FL 32934 2011-09-01
1376821637 Christine Natasha Williams Kelly Counselor 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 2011-08-03
1912203316 Sheryl Yatsko Physical Therapy Assistant 3303 Sarno Rd, Melbourne, FL 32934 2011-02-01
1255564191 Joy Cheryl Mullen Occupational Therapy Assistant 1890 Whispering Oaks Cir, West Melbourne, FL 32934 2009-08-26
1619031531 The Devereux Foundation Case Management 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 2006-12-22
1457456600 Jo A Kologlu Physical Therapist 5025 Smithfield Rd, Melbourne, FL 32934 2006-09-13
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407095284 Thomas H Harrell Psychologist 2603 Canary Isles Dr, Melbourne, FL 32901-6821 2009-02-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275132110 Jasmine Medical Group - Florida, LLC Psychologist 10435 Riverside Dr, Palm Beach Gardens, FL 33410-4279 2020-10-21
1619598810 Dickens Sanomi Corp Psychologist 6820 W Sunrise Blvd, Plantation, FL 33313-4570 2020-04-29
1679108955 South Florida Senior Center Psychologist 2266 Sw 8th St, Miami, FL 33135-4929 2020-03-07
1609407022 Jaqueline Mola Sanchez Psychologist 15141 Sw 144th Ct, Miami, FL 33186-5680 2020-02-04
1780224881 Linda Bari Wohl Psychologist 7412 Riviera Cv, Lakewood Ranch, FL 34202-5044 2020-01-07
1790330504 Connected Warriors Psychologist 950 Communications Ave Suite 115, Boca Raton, FL 33431 2019-08-08
1629620042 Voyage Behavior Inc Psychologist 6411 Roosevelt St, Hollywood, FL 33024-5803 2019-07-15
1558826651 Militza Saroza Psychologist 19901 Nw 67th Circle Ct, Hialeah, FL 33015-2418 2019-02-04
1508368192 Live Oak Behavioral Health Pa Psychologist 341 N Maitland Ave Ste 120, Maitland, FL 32751-4761 2018-02-28
1952800328 Ah Sunshineenterprises Inc Psychologist 6735 Conroy Rd Ste 326, Orlando, FL 32835-3568 2018-02-12
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Competitor

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City MELBOURNE
Zip Code 32934

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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