Provider Demographics
NPI:1578519146
Name:PARADIGM HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PARADIGM HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-538-4151
Mailing Address - Street 1:13575 58TH ST N
Mailing Address - Street 2:187
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3740
Mailing Address - Country:US
Mailing Address - Phone:727-538-4151
Mailing Address - Fax:866-341-7512
Practice Address - Street 1:13575 58TH ST N
Practice Address - Street 2:187
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3740
Practice Address - Country:US
Practice Address - Phone:727-538-4151
Practice Address - Fax:866-341-7512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3689271Medicaid
TN3920161Medicaid
NC6005351Medicaid
TN3689271Medicare PIN
NC2873357Medicare PIN
TN3689271Medicaid
TN3920161Medicaid
MSC02687Medicare PIN