OrganizationActive
Acts
NPI 1902142342 · Mental Illness Community Based Residential Treatment Facility · Tarpon Springs, FL
Provider details
- NPI number
- 1902142342
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sophia Lewis, Utilization Review Manager(813) 626-7250
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3575 Old Keystone Rd
Tarpon Springs, FL 34688-7807
Phone: (727) 942-4181
Street-level locationGet directions
Mailing address
4612 N 56th St
Tampa, FL 33610-7123
Registry dates
- Enumerated
- 2012-12-12
- Last updated
- 2012-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.