1508994344 NPI number — REBECCA HOPE SINGER L.C.S.W, CAP

Table of content: REBECCA HOPE SINGER L.C.S.W, CAP (NPI 1508994344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508994344 NPI number — REBECCA HOPE SINGER L.C.S.W, CAP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SINGER
Provider First Name:
REBECCA
Provider Middle Name:
HOPE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W, CAP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SINGER
Provider Other First Name:
BECKY
Provider Other Middle Name:
HOPE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1508994344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1155 LOUISIANA AVE
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
WINTER PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32789-2351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-647-2423
Provider Business Mailing Address Fax Number:
407-647-3033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1155 LOUISIANA AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
WINTER PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32789-2351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-647-2423
Provider Business Practice Location Address Fax Number:
407-647-3033
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  CAP 1853 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: 0002853 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 282095 . This is a "VALUE OPTIONS PROVIDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 11558272 . This is a "CAQH #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 99612 . This is a "CIGNA PROVIDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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