KIDSPEACE SERVICES INC (NPI# 1962693077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962693077 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE SERVICES INC |
| Practice Address |
3333 Winter Lake Road Lakeland FL 33803 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 4073397451 |
| Practice Fax Number | 4078622737 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536363 | Kidspeace Services Inc | Clinic/Center | 1950 Benoist Farms Road, West Palm Beach, FL 33411 | 2007-06-19 |
| 1629101423 | Kidspeace Services Inc | Clinic/Center | 633 B Brevard Avenue, Cocoa, FL 32922 | 2007-03-13 |
| 1356400741 | Kidspeace Services Inc | Clinic/Center | 711 Ballard Street, Altamonte Springs, FL 32071 | 2006-12-08 |
| Street Address |
3333 WINTER LAKE ROAD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
| 1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
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| Find all providers with the same taxonomy | ||||
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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.