THE CHRYSALIS CENTER (NPI# 1932325883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932325883 |
| Entity Type | Organization |
| Organization Name | THE CHRYSALIS CENTER |
| Practice Address |
3521 W Broward Blvd 3rd Floor Ft Lauderdale FL 33312-1048 |
| Practice Telephone | 9545871008 |
| Practice Fax Number | 9545870080 |
| Mailing Telephone | 9545871008 |
| Mailing Fax Number | 9545870080 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TARA MARIE KELLOGG (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9545871008 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MT2003 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699074138 | The Chrysalis Center | Community Based Residential Treatment Facility, Mental Illness | 7156 Colony Club Dr Apt 207, Lake Worth, FL 33463-7832 | 2011-03-23 |
| 1629337258 | The Chrysalis Center | Case Management | 1061 W Oakland Park Blvd, Wilton Manors, FL 33311-1609 | 2012-05-16 |
| 1205145026 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, Fort Lauderdale, FL 33312-1048 | 2010-09-28 |
| 1174838262 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-08-12 |
| Street Address |
3521 W BROWARD BLVD 3RD FLOOR |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33312-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619925922 | Crawford Center, Inc. | Voluntary or Charitable | 3521 W Broward Blvd, Third Floor, Ft Lauderdale, FL 33312-1048 | 2006-05-05 |
| 1316256019 | Janethlyn Palomino | Counselor | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2010-09-29 |
| 1285941690 | Mirella Carla Ezeta | Counselor | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-09-07 |
| 1174838262 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-08-12 |
| 1912151069 | Tatiana Linares Zantua | Counselor | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2008-11-14 |
| 1023267416 | Tara Marie Kellogg | Marriage & Family Therapist | 3521 W Broward Blvd, 3rd Floor, Ft Lauderdale, FL 33312-1048 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1801420435 | Regional Behavioral Health Inc | Community/Behavioral Health | 2901 W Cypress Creek Rd Ste 113, Ft Lauderdale, FL 33309-1730 | 2020-02-21 |
| 1326171034 | Broward County Board of County Commissioners | Community/Behavioral Health | 1011 Middle St, Ft Lauderdale, FL 33312-7135 | 2007-03-13 |
| 1982071064 | Dharma Wellness, LLC | Community/Behavioral Health | 3550 Powerline Rd, Ft Lauderdale, FL 33309-5919 | 2015-08-25 |
| 1942519020 | Discover Yourself Incorporated | Community/Behavioral Health | 511 Se 5th Ave, Apt. 1812, Ft Lauderdale, FL 33301-2984 | 2010-10-06 |
| 1174838262 | The Chrysalis Center | Community/Behavioral Health | 3521 W Broward Blvd, Ft Lauderdale, FL 33312-1048 | 2010-08-12 |
| 1992885222 | Children's Home Society of Florida | Community/Behavioral Health | 401 Ne 4th St, Ft Lauderdale, FL 33301-1151 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33312 |
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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.