ICM ASSOCIATES, INC. (NPI# 1750573135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750573135 |
Entity Type | Organization |
Organization Name | ICM ASSOCIATES, INC. |
Practice Address |
900 Carillon Pkwy Suite 301 Saint Petersburg FL 33716-1115 |
Mailing Address |
15454 1st St E Madeira Beach FL 33708-1803 |
Practice Telephone | 7273925600 |
Mailing Telephone | 7273925600 |
Mailing Fax Number | 7274997517 |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |
Authorized Official Name | MS. KATHRYN DIANNE CARAVELLA (CEO) |
Authorized Official Telephone | 7273925600 |
Authorized Official Credential | CAC, NCAC1, BRI- |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 4013A | FL | Agencies |
Street Address |
900 CARILLON PKWY SUITE 301 |
City | SAINT PETERSBURG |
State | FL |
Zip Code | 33716-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821148297 | Miller Dental Associates | Clinic/Center | 900 Carillon Pkwy, Suite 307, Saint Petersburg, FL 33716-1115 | 2007-01-10 |
1487704854 | Nathan Charles Miller | Dentist | 900 Carillon Pkwy, Suite 307, Saint Petersburg, FL 33716-1115 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
Find all providers in zip 33716 |
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 |
---|---|---|---|---|
1033609029 | Melanie Bowman Therapy LLC | Community/Behavioral Health | 1135 11th St N, Saint Petersburg, FL 33705-1117 | 2018-05-15 |
1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
1689065781 | Veterans & Community Resource Center Corp | Community/Behavioral Health | 2140 9th Ave N, Saint Petersburg, FL 33713-7134 | 2015-02-10 |
1992075840 | Cohrs Behavioral Consulting | Community/Behavioral Health | 304 Mateo Way Ne, Saint Petersburg, FL 33704-3624 | 2012-01-10 |
1063715506 | Roe & Associates Integrated Behavior Supports, Inc. | Community/Behavioral Health | 300 31st St N Ste 230, Saint Petersburg, FL 33713-7623 | 2010-12-06 |
1982873824 | Family Service Centers, Inc. | Community/Behavioral Health | 940 22nd Ave S, Saint Petersburg, FL 33705-2934 | 2008-02-25 |
1437345147 | Littke & Associates, Inc. | Community/Behavioral Health | 235 3rd Ave N, Unit 141, Saint Petersburg, FL 33701-3350 | 2007-09-18 |
1588289680 | Letha F Miller, Inc. | Community/Behavioral Health | 4244 Central Ave, Saint Petersburg, FL 33711-1140 | 2020-06-15 |
1184249286 | Shella Scully-hilbert Lcsw LLC | Community/Behavioral Health | 4244 Central Ave, Saint Petersburg, FL 33711-1140 | 2020-06-15 |
1043743511 | Heather Maturo Counseling | Community/Behavioral Health | 7901 4th St N, Suite 322, Saint Petersburg, FL 33702-4305 | 2017-04-11 |
Find all providers in SAINT PETERSBURG |
City | SAINT PETERSBURG |
Zip Code | 33716 |
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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.