Peace River Center for Personal Development Inc
NPI 1821097767 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bartow, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peace River Center for Personal Development Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Bartow, FL (NPI 1821097767).
Provider details
- NPI number
- 1821097767
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jo Deck, Credentialing Specialist(863) 519-0575
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Case Management Agency251B00000X
Agencies
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
15 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Peace River Center
Additional practice locations (14)
- 1255 Golfview AveBartow, FL 33830-6736Phone: (863) 519-0575Fax: (863) 582-9251
- 751 Scenic HwyHaines City, FL 33844-7500Phone: (863) 519-0575Fax: (863) 582-9251
- 728 E Bella Vista StLakeland, FL 33805-3088Phone: (863) 519-0575Fax: (863) 582-9251
- 1825 Gilmore AveLakeland, FL 33805-3017Phone: (863) 519-0575
- 1835 Gilmore AveLakeland, FL 33805-3017Phone: (863) 519-0575
- 1664 Williamsburg SqLakeland, FL 33803-4278Phone: (863) 519-0575Fax: (863) 582-9251
- 1831 N Crystal Lake DrLakeland, FL 33801-5902Phone: (863) 519-0575Fax: (863) 582-9251
- 715 N Lake AveLakeland, FL 33801-1908Phone: (863) 519-0575
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is Peace River Center for Personal Development Inc's NPI number?
- Peace River Center for Personal Development Inc's National Provider Identifier (NPI) is 1821097767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peace River Center for Personal Development Inc?
- Peace River Center for Personal Development Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Peace River Center for Personal Development Inc located?
- Peace River Center for Personal Development Inc's practice location on file with NPPES is 1239 E Main St, Bartow, FL 33830-5058.
- What is Peace River Center for Personal Development Inc's phone number?
- The practice phone number listed in the NPPES registry for Peace River Center for Personal Development Inc is (863) 519-0575.
- Does Peace River Center for Personal Development Inc accept Medicare?
- Peace River Center for Personal Development Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peace River Center for Personal Development Inc?
- The authorized official listed on Peace River Center for Personal Development Inc's NPPES record is Jo Deck, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peace River Center for Personal Development Inc's NPI active?
- Yes — Peace River Center for Personal Development Inc's NPI (1821097767) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.