Legacy Behavioral Health Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY BEHAVIORAL HEALTH CENTER INC

Practice address

233 W Avenue a Ste C
Belle Glade, FL 33430-3092

Phone

(561) 253-3679

Fax

(561) 253-3680

NPI assigned

Mar 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Alicia B. Pajares, LCSW

Title

President

Phone

(561) 722-7866

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1083381552

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Vero Beach, FL
  • NPI 1184391674

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
  • NPI 1356018709

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indiantown, FL
  • NPI 1568439685

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • West Melbourne, FL
  • NPI 1679226534

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Stuart, FL
  • NPI 1891448767

  O20090428000101

  Same enrollment
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Port Saint Lucie, FL
  • NPI 1942977426

  O20090428000101

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cleopatra Ortiz, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1538373345
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003057407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065931",
            "telephone_number": "561-616-8411",
            "fax_number": "772-591-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W AVENUE A STE C",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303092",
            "telephone_number": "561-253-3679",
            "fax_number": "561-253-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PAJARES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-722-7866",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076140105",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Anesthesia, Inc.
• Lakeside Medical Center
• Mallory Lazell, DPT
• Wodwentzky Lefranc, MD
• Legacy Behavioral Health Center
• Giselle Leon Hernandez
• Camilo Homero Leon Marin, DC
• David Lepoff, DO
• Adriana Del Carmen Lequerica Ziemba, DOCTOR OF PSYCHOLOGY
• Robert Mark Lieberman, DC

• Community/Behavioral Health Agency in Belle Glade, FL
• Providers in Belle Glade, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.