Active NPI
La Amistad Residential Treatment Center Inc
- Psychiatric Hospital
- Orlando, FL
National Provider Identifier
1023456597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 4498
- Legal business name
- LA AMISTAD RESIDENTIAL TREATMENT CENTER INC
- Practice address
- 6601 Central Florida Pkwy
Orlando, FL 32821-8064 - Phone
- (407) 264-0111
- Fax
- (407) 264-7745
- NPI assigned
- Jun 6, 2013
- Organization subpart
- Yes
- Parent organization
- LAAMISTAD RESIDENTIAL TREATMENT CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vickie Lewis
- Title
- Ceo
- Phone
- (407) 370-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 4498 | FL | Primary |
Addresses
Primary practice location
6601 Central Florida Pkwy
Orlando, FL 32821-8064
Mailing address
6601 Central Florida Pkwy
Orlando, FL 32821-8064
Phone (407) 264-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2M | Other | FL | BCBS |
Other names 1
- Central Florida Behavioral Hospital Physician Group
National Provider Directory
National Provider Directory- Part of
- La Amistad Residential Treatment Center Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1023456597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 CENTRAL FLORIDA PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328218064",
"telephone_number": "407-264-0111",
"fax_number": "407-264-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 CENTRAL FLORIDA PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328218064",
"telephone_number": "407-264-0111",
"fax_number": "407-264-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA AMISTAD RESIDENTIAL TREATMENT CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAAMISTAD RESIDENTIAL TREATMENT CENTER INC",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "VICKIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-370-0111"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "FL",
"license": "4498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "E2M",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Florida Behavioral Hospital Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orlando, FL
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- L&O Financial Capital LLC
- La Amistad Residential Treatment Center LLC
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- La Famille Medical Center LLC
- Christine Marie La Fleur
- La Majesty Health Care LLC2
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.