THE FAMILY MENTAL HEALTH PRACTICE (NPI# 1770762593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770762593 |
| Entity Type | Organization |
| Organization Name | THE FAMILY MENTAL HEALTH PRACTICE |
| Practice Address |
2760 Sw 17th St Suite 300 Ocala FL 34471 |
| Mailing Address |
701 N Central Avenue Flagler Beach FL 32136 |
| Practice Telephone | 3526294113 |
| Practice Fax Number | 3864391403 |
| Mailing Telephone | 3864391403 |
| Mailing Fax Number | 3864391403 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. THEODORE RICHARD DEROCHE (OWNER PRIVATE PRACTICE) |
| Authorized Official Telephone | 3864391403 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH0000050 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2760 SW 17TH ST SUITE 300 |
| City | OCALA |
| State | FL |
| Zip Code | 34471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295467 | Mental Health Services and Recovery LLC | Counselor | 1012 E Silver Springs Blvd Ste A, Ocala, FL 34470-6777 | 2020-11-02 |
| 1962002667 | Deborah Giles | Counselor | 5001 Sw 20th St Apt 4415, Ocala, FL 34474-8533 | 2020-10-30 |
| 1972117950 | Cristin Maureen Small | Counselor | 3460 Se 31st Ter, Ocala, FL 34471-6924 | 2020-09-07 |
| 1649813619 | Theresia Rene Jackson | Counselor | 6460 Nw 67th Ter, Ocala, FL 34482-2130 | 2019-10-23 |
| 1508424292 | Deedra Conrad | Counselor | 1701 Ne 42nd Ave Ste 301, Ocala, FL 34470-8026 | 2019-05-29 |
| 1467017657 | Jennifer Swanson | Counselor | 115 Ne 28th Ave, Ocala, FL 34470-1264 | 2019-05-03 |
| 1790269272 | Bridges Behavioral Health LLC | Counselor | 1515 E Silver Springs Blvd Ste 137, Ocala, FL 34470-6830 | 2018-09-20 |
| 1265915896 | Alina Community Center LLC | Counselor | 1815 Ne Jacksonville Rd Ste A, Ocala, FL 34470-4141 | 2018-09-10 |
| 1659877934 | Kummerle Psychotherapy LLC | Counselor | 6000 Nw 70th Avenue Rd Ste 225a, Ocala, FL 34482-6735 | 2018-04-04 |
| 1255830287 | Sylphia Renee Lindsay | Counselor | 725 E Silver Springs Blvd Ste 11, Ocala, FL 34470-6711 | 2018-02-05 |
| Find all providers in OCALA | ||||
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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.