Active NPI
Center for Mood Disorders LLC
- Community/Behavioral Health Agency
- Vero Beach, FL
National Provider Identifier
1033521026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LM12574
- Legal business name
- CENTER FOR MOOD DISORDERS LLC
- Practice address
- 1408 19TH St
Suite C
Vero Beach, FL 32960-3628 - Phone
- (772) 224-1294
- NPI assigned
- May 24, 2014
- Last updated
- May 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi L Olmstead, LMHC
- Title
- Owner
- Phone
- (772) 224-1294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LM12574 | FL | Primary |
Addresses
Primary practice location
1408 19TH St
Suite C
Vero Beach, FL 32960-3628
Mailing address
1408 19TH St
Suite C
Vero Beach, FL 32960-3628
Phone (772) 224-1294
National Provider Directory
National Provider DirectoryLocations
1408 19th St
Ste C
Vero Beach, FL 32960
Phone (772) 224-1294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Counselor
- Fort Pierce, FL
- NPI 1255691663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400889600000",
"number": "1033521026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 19TH ST",
"address_2": "SUITE C",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603628",
"telephone_number": "772-224-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 19TH ST",
"address_2": "SUITE C",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603628",
"telephone_number": "772-224-1294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR MOOD DISORDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-24",
"last_updated": "2014-05-24",
"status": "A",
"authorized_official_last_name": "OLMSTEAD",
"authorized_official_first_name": "JODI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-224-1294",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "LM12574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Cole Chambers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.