1922162981 NPI number — MR. CHRISTOPHER PAUL CHECKE LMHC, CAP, NCC, MAC

Table of content: MR. CHRISTOPHER PAUL CHECKE LMHC, CAP, NCC, MAC (NPI 1922162981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922162981 NPI number — MR. CHRISTOPHER PAUL CHECKE LMHC, CAP, NCC, MAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHECKE
Provider First Name:
CHRISTOPHER
Provider Middle Name:
PAUL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, CAP, NCC, MAC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922162981
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 EAST BROWARD BOULEVARD
Provider Second Line Business Mailing Address:
SUITE #303
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-240-6323
Provider Business Mailing Address Fax Number:
954-463-4440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 EAST BROWARD BOULEVARD
Provider Second Line Business Practice Location Address:
SUITE #303
Provider Business Practice Location Address City Name:
FORT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-240-6323
Provider Business Practice Location Address Fax Number:
954-463-4440
Provider Enumeration Date:
12/21/2006

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: 101YM0800X , with the licence number:  MH 8361 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 768123200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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