MOOD BY KIM NPI 1497380604

NPI Information

NPI: 1497380604
Provider Name: MOOD BY KIM

Doing Business As: KIMBERLY COCHRAN

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7901 4TH ST N STE 300
ST PETERSBURG, FL
ZIP 33702
Phone: (623) 777-7551
Get Directions

MOOD BY KIM is an adult mental health clinic center in St Petersburg, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MOOD BY KIM NPI is 1497380604. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kimberly Cochran.

The provider's business location address is:

7901 4TH ST N STE 300
ST PETERSBURG, FL
ZIP 33702-399
Phone: (623) 777-7551
Fax: (623) 666-6612

The provider's authorized official is Kimberly Cochran .
The authorized official title is Owner/provider and has the following contact phone number (623) 777-7551.

The enumeration date for this NPI number is 3/8/2020 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2156425	MEDICAID	WASHINGTON
2	06543815	MEDICAID	NEW YORK
3	993686	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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