MENTAL HEALTH CARE INC DBA GRACEPOINT NPI 1992914113

NPI Information

NPI: 1992914113
Provider Name: MENTAL HEALTH CARE INC DBA GRACEPOINT

Other Name: GRAHAM AT GRACEPOINT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2400 E HENRY AVE
GRAHAM AT GRACEPOINT
TAMPA, FL
ZIP 33610
Phone: (813) 272-2878
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MENTAL HEALTH CARE INC DBA GRACEPOINT is a mental health (including community mental health center) clinic center in Tampa, FL. MENTAL HEALTH CARE INC DBA GRACEPOINT NPI is 1992914113. The provider is registered as an organization entity type.
The provider Other Name Is Graham At Gracepoint.

The provider's business location address is:

2400 E HENRY AVE
GRAHAM AT GRACEPOINT
TAMPA, FL
ZIP 33610-435
Phone: (813) 272-2878
Fax: (813) 231-7324

The provider's authorized official is Joseph F. Rutherford .
The authorized official title is Ceo and has the following contact phone number (813) 239-8069.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/14/2016.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		FLORIDA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	00544	MEDICARE UPIN	FLORIDA
2	140365600	MEDICAID	FLORIDA

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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