CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC NPI 1699907832

NPI Information

NPI: 1699907832
Provider Name: CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 10D2030952

Address:
1401 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 728-8080
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CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC is a mental health counselor in Fort Lauderdale, FL. CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC NPI is 1699907832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316-619
Phone: (954) 728-8080
Fax: (954) 779-1957

The provider's authorized official is Ana Calderon-randazzo .
The authorized official title is Adminstrator and has the following contact phone number (954) 728-1060.

The CLIA number assigned to this NPI record is 10D2030952 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2009 and was last updated on 11/12/2021.

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	1041C0700X	Social Worker	Clinical			No
2	101YM0800X	Counselor	Mental Health		FLORIDA	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	Other Provider Identifier Issuer
1	006458400	MEDICAID	FLORIDA
2	34478	OTHER	FLORIDA	BCBS

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: 11/14/2023

NPI Synchronization or Removal

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