Center for Identity Development South Ltd Inc
NPI 1295894301 · Mental Health Clinic/Center (Including Community Mental Health Center) · Coconut Creek, FL
Center for Identity Development South Ltd Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Coconut Creek, FL (NPI 1295894301).
Provider details
- NPI number
- 1295894301
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michele Lanese, President Center for Identity Devel(954) 345-5525
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2014-07-29
Frequently asked questions
- What is Center for Identity Development South Ltd Inc's NPI number?
- Center for Identity Development South Ltd Inc's National Provider Identifier (NPI) is 1295894301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Identity Development South Ltd Inc?
- Center for Identity Development South Ltd Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Center for Identity Development South Ltd Inc located?
- Center for Identity Development South Ltd Inc's practice location on file with NPPES is 4855 W Hillsboro Blvd, Coconut Creek, FL 33073-4356.
- What is Center for Identity Development South Ltd Inc's phone number?
- The practice phone number listed in the NPPES registry for Center for Identity Development South Ltd Inc is (954) 345-5525.
- Who is the authorized official for Center for Identity Development South Ltd Inc?
- The authorized official listed on Center for Identity Development South Ltd Inc's NPPES record is Michele Lanese, President Center for Identity Devel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Identity Development South Ltd Inc's NPI active?
- Yes — Center for Identity Development South Ltd Inc's NPI (1295894301) is active in the NPPES registry as of the last update on 2014-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.