11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 – NPI #1912532441
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 is an AHC clinic located in NEW PORT RICHEY, FL. NPPES has assigned the NPI number 1912532441 to 11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 on March 04, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 6 years ago on Mar 16, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654 below.

NPI Profile for
11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654

NPI Number
1912532441
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
11911 PINE FOREST DRIVE, NEW PORT RITCHEY 34654
Primary location
11911 PINE FOREST DR
NEW PORT RICHEY, FL 34654-1462
Phone: (813) 526-4155 Fax:
Mailing address
10144 ARBOR RUN DR UNIT 28
TAMPA, FL 33647-3568
Phone: (813) 526-4155 Fax:
Organization Subpart
No
Authorized Official
NEVEH MAHILUM
OWNER/MANAGER
Phone: (813) 526-4155
Updated
Certification Date
Mar 16, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.