PATTRA FARTHING DODD (NPI# 1942546551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942546551 |
| Entity Type | Individual |
| Full Name | PATTRA FARTHING DODD |
| Credential | LCSW |
| Practice Address |
1901 S 25th St Suite 103 Fort Pierce FL 34947-4711 |
| Practice Telephone | 7725955150 |
| Practice Fax Number | 7725956560 |
| Mailing Telephone | 7725955150 |
| Mailing Fax Number | 7725956560 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2014-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1901 S 25TH ST SUITE 103 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316357379 | Earnestine Banks | Pharmacist | 1901 S 25th St, Suite 103, Fort Pierce, FL 34947-4711 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| 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 |
|---|---|---|---|---|
| 1629447313 | Oh Marketing Services Dba Beachside Rehab | Community/Behavioral Health | 4005 N A1a Ste 123, Fort Pierce, FL 34949-8524 | 2015-09-23 |
| 1699029017 | Suncoast Mental Helath | Community/Behavioral Health | 2814 South U.s Highway 1, Suite D4, Fort Pierce, FL 34982 | 2012-11-07 |
| 1720265275 | Another Chance Corporation | Community/Behavioral Health | 3501 Avenue K, Fort Pierce, FL 34947-2307 | 2008-01-28 |
| 1700066073 | Divine Hands of Care, Inc | Community/Behavioral Health | 4140 Worlington Ter, Fort Pierce, FL 34947-1335 | 2007-11-05 |
| 1861689135 | Cfsatc Inc | Community/Behavioral Health | 1302 N Lawnwood Cir Ste B, Fort Pierce, FL 34950-4884 | 2007-10-01 |
| 1487724050 | Children's Home Society of Florida | Community/Behavioral Health | 4520 Selvitz Rd, Fort Pierce, FL 34981-4801 | 2006-11-09 |
| 1245766807 | Healing Waters Counseling | Community/Behavioral Health | 130 S Indian River Dr, Suite 202, Fort Pierce, FL 34950-4343 | 2017-05-02 |
| 1164823589 | Rebecca Dorothy Rudoff | Community/Behavioral Health | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2014-09-05 |
| 1457793721 | New Horizons of The Treasure Coast, Inc | Community/Behavioral Health | 4500 W Midway Rd, Fort Pierce, FL 34981-4823 | 2013-07-26 |
| 1861732851 | Morning Glory House of Love | Community/Behavioral Health | 120 Maple Ave, Same, Fort Pierce, FL 34982-3431 | 2013-02-27 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
Please comment or provide details below to improve the information on PATTRA FARTHING DODD.
| 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.