OrganizationActive
Crockett Foundation Inc
NPI 1184295123 · Community/Behavioral Health Agency · Fort Lauderdale, FL
Provider details
- NPI number
- 1184295123
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Regine Kanzki, Vice President of Operations(954) 822-9370
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Sw 1st Ave Ste 102
Fort Lauderdale, FL 33301-2853
Phone: (754) 666-3928
Street-level locationGet directions
Mailing address
401 Sw 1st Ave Ste 102
Fort Lauderdale, FL 33301-2853
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.