JOHN CHAFFIN, ED.D., P.A. (NPI# 1861918260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861918260 |
| Entity Type | Organization |
| Organization Name | JOHN CHAFFIN, ED.D., P.A. |
| Practice Address |
2312 Wilton Dr Ste 24 Wilton Manors FL 33305-1249 |
| Mailing Address |
2312 Wilton Drive Suite 24 Wilton Manors FL 33305 |
| Practice Telephone | 9543808823 |
| Mailing Telephone | 9543808823 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-27 |
| Authorized Official Name | DR. JOHN CHAFFIN (LICENSED PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9543808823 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH13783 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2312 WILTON DR STE 24 |
| City | WILTON MANORS |
| State | FL |
| Zip Code | 33305-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114353893 | John Chaffin | Counselor | 2312 Wilton Dr Ste 24, Wilton Manors, FL 33305-1249 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1922650159 | Samantha Jones | Chiropractor | 1732 Ne 26th St Ste 201, Wilton Manors, FL 33305 | 2019-07-09 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1548775000 | Inbox Inc. | Counselor | 1650 Ne 26th St., Suite 206, Wilton Manors, FL 33305 | 2017-12-06 |
| 1306394168 | The 5 Elements Spa & Longevity Center | Health Maintenance Organization | 2288 Wilton Drive, Wilton Manors, FL 33305 | 2016-09-21 |
| 1467900449 | Crystal L Cacolici | Acupuncturist | 1732 Ne 26th St Ste 202, Wilton Manors, FL 33305 | 2016-09-19 |
| 1649634809 | Terri-ann Brown Arnp | Nurse Practitioner | 1881 Ne 26th Street, Suite 102, Fort Lauderdale, FL 33305 | 2016-04-13 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1427300789 | Kids In Distress | Foster Care Agency | 819 Ne 26th St., Ft. Laud, FL 33305 | 2012-10-11 |
| Find all providers in zip 33305 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211049 | Christopher Joseph Larkin | Counselor | 2607 Ne 8th Ave Apt 43, Wilton Manors, FL 33334-2591 | 2020-10-02 |
| 1285268813 | Amber Kipp | Counselor | 819 Ne 26th St # 1239, Wilton Manors, FL 33305-1239 | 2020-02-21 |
| 1093239709 | Tannisha Stewart | Counselor | 1061 W Oakland Park Blvd Fl 2, Wilton Manors, FL 33311-1600 | 2017-08-03 |
| 1114353893 | John Chaffin | Counselor | 2312 Wilton Dr Ste 24, Wilton Manors, FL 33305-1249 | 2013-09-25 |
| 1164761532 | Christina L Smith | Counselor | 2848 Ne 17th Ter, Wilton Manors, FL 33334 | 2013-02-05 |
| 1538453626 | Alexandra Stark | Counselor | 2225 N Andrews Ave, Wilton Manors, FL 33311-3922 | 2011-06-06 |
| 1659557205 | Stephanie H Miller | Counselor | 2800 N Andrews Ave, Wilton Manors, FL 33311-2514 | 2008-01-14 |
| 1730301490 | Robert J. Scardino | Counselor | 2312 Wilton Dr Ste 36, Wilton Manors, FL 33305-1249 | 2007-05-03 |
| 1235277880 | Marcela Rivera-fuentes | Counselor | 1881 Ne 26th St Ste 224, Wilton Manors, FL 33305-1400 | 2007-02-02 |
| 1043238397 | Rick Gunsallus | Counselor | 3001 Ne 4th Ave, Wilton Manors, FL 33334-2047 | 2006-07-17 |
| Find all providers in WILTON MANORS | ||||
| City | WILTON MANORS |
| Zip Code | 33305 |
Please comment or provide details below to improve the information on JOHN CHAFFIN, ED.D., P.A..
| 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.