CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC (NPI# 1962628289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962628289 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC |
| Other Organization Name | TCM GROUP |
| Practice Address |
1401 S Federal Hwy Fort Lauderdale FL 33316-2619 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9547288080 |
| Practice Fax Number | 9547791957 |
| Mailing Telephone | 9547288080 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | GINO SANTORIO (CEO/PRESIDENT) |
| Authorized Official Telephone | 9544737054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 34478 | 01 |
| FL | 055049300 | 05 |
| Other Name | Type Code |
|---|---|
| TCM Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679790786 | Childrens Diagnostic & Treatment Center Inc | Occupational Therapist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-19 |
| 1225254535 | Childrens Diagnostic & Treatment Center Inc | Psychologist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-17 |
| 1437245529 | Childrens Diagnostic & Treatment Center Inc | Dentist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316 | 2006-10-05 |
| Street Address |
1401 S FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740914 | Patricia A Garvie | Psychologist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2005-09-12 |
| 1316550817 | Keron Shand | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-08-25 |
| 1851924906 | Rose Rachelle L Nicolas | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-02-18 |
| 1437792108 | Elizabeth Hernandez | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-10-24 |
| 1649823717 | Flor Guzman | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-07-18 |
| 1851858385 | Maria Monroe | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-20 |
| 1689139164 | Rachelle Pigeot | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-08 |
| 1750846770 | Maria L Berrios | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-04 |
| 1831660745 | Bethie Alfred | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-12-17 |
| 1518437813 | Katrina Anderson | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558925446 | Terrie Everett | Case Management | 635 Sw 14th Ter, Fort Lauderdale, FL 33312-7251 | 2019-04-25 |
| 1295298354 | Solaris Wellness Center LLC | Case Management | 2320 Ne 9th St # 200, Fort Lauderdale, FL 33304-3579 | 2019-04-07 |
| 1457816647 | All Inclusive Care | Case Management | 6245 N Federal Hwy, Suite 502, Fort Lauderdale, FL 33308-1919 | 2019-02-01 |
| 1013472380 | Serinus Health Inc | Case Management | 648 Ne 25th Way, Fort Lauderdale, FL 33304-3530 | 2019-01-31 |
| 1942708144 | Uniquecare Case Management Services LLC | Case Management | 3601 W Commercial Blvd Ste 13, Fort Lauderdale, FL 33309-3320 | 2018-01-23 |
| 1578070835 | Care Management Resources LLC | Case Management | 6750 N Andrews Ave Ste 200, Fort Lauderdale, FL 33309-2180 | 2018-01-08 |
| 1518478445 | Gladstone and Associates LLC | Case Management | 19366 Sw 65th St, Fort Lauderdale, FL 33332-3362 | 2017-10-18 |
| 1760841910 | Focusing On You Counseling Services | Case Management | 2849 Sw 4th Ct, Fort Lauderdale, FL 33312-2036 | 2016-02-16 |
| 1336543578 | Anne Assisted Living Facility Inc | Case Management | 1708 Sw 11th Ct, Fort Lauderdale, FL 33312-3266 | 2014-10-17 |
| 1992127773 | Jenkins Harmony Home | Case Management | 2640 Nw 16th Ct, Fort Lauderdale, FL 33311-4442 | 2014-01-13 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on CHILDRENS DIAGNOSTIC & TREATMENT CENTER 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.