PETERKINS MENTAL HEALTH & SUBSTANCE ABUSE SERVICES, INC. (NPI# 1174964050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174964050 |
| Entity Type | Organization |
| Organization Name | PETERKINS MENTAL HEALTH & SUBSTANCE ABUSE SERVICES, INC. |
| Practice Address |
2444 Nugget Ln Tallahassee FL 32303-3726 |
| Practice Telephone | 9107599472 |
| Mailing Telephone | 9107599472 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | ALICE SMITH (DIRECTOR) |
| Authorized Official Telephone | 9107599472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2444 NUGGET LN |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096166 | Disc Village, Inc. | Community/Behavioral Health | 2814 Twelve Step Way, Tallahassee, FL 32305 | 2019-04-09 |
| 1225520687 | Disc Village, Inc. | Community/Behavioral Health | 1000 W Tharpe St Ste 17, Tallahassee, FL 32303-5311 | 2018-06-01 |
| 1477041028 | Pediatric Aba 3 Inc | Community/Behavioral Health | 3011 Powell Rd Ste 3a, Tallahassee, FL 32308-6230 | 2018-04-30 |
| 1972957918 | David Steingart Counseling LLC | Community/Behavioral Health | 1682 Metropolitan Cir, Tallahassee, FL 32308-7752 | 2016-04-15 |
| 1982079091 | Ieisha Farrell | Community/Behavioral Health | 708 Pointe Ct Apt A, Tallahassee, FL 32308-6170 | 2015-12-01 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1225418387 | Robert Osborne | Community/Behavioral Health | 2408 Ionic Ct, Tallahassee, FL 32303-3516 | 2015-06-04 |
| 1750726147 | Maki Psychological Services, LLC | Community/Behavioral Health | 4037 Mcleod Dr, Tallahassee, FL 32303-7117 | 2013-04-30 |
| 1962846667 | Open Arms Home Care | Community/Behavioral Health | 2365 Centerville Rd # L-5, Tallahassee, FL 32308-4317 | 2013-04-24 |
| 1417297763 | Disc Village, Inc. | Community/Behavioral Health | 603 S M L King Jr Blvd, Tallahassee, FL 32301 | 2013-02-25 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on PETERKINS MENTAL HEALTH & SUBSTANCE ABUSE SERVICES, INC..
| 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.