Organization Active NPI

Center for Mood Disorders LLC

  • Community/Behavioral Health Agency
  • Vero Beach, FL
National Provider Identifier
1033521026
Registry record updated May 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LM12574 Issued in FL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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": []
}

Other providers in Vero Beach, FL

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.

Verify at the official NPI Registry.