Active NPI
Alzheimer'S Treatment Center
- Neurology Physician
- Alva, FL
National Provider Identifier
1053085829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ALZHEIMER'S TREATMENT CENTER
- Doing business as
- Alzheimer's Treatment Center
- Practice address
- 18301 Telegraph Creek LN
Alva, FL 33920-3141 - Phone
- (239) 204-7307
- NPI assigned
- Aug 5, 2021
- 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
- Wendy Robinson Bond, MD
- Title
- Sole Proprietor
- Phone
- (239) 204-7307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
18301 Telegraph Creek LN
Alva, FL 33920-3141
Mailing address
18301 Telegraph Creek LN
Alva, FL 33920-3141
Phone (239) 204-7307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273483400 | Medicaid | FL |
Other names 1
- Alzheimer's Treatment Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1053085829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18301 TELEGRAPH CREEK LN",
"city": "ALVA",
"state": "FL",
"postal_code": "339203141",
"telephone_number": "239-204-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18301 TELEGRAPH CREEK LN",
"city": "ALVA",
"state": "FL",
"postal_code": "339203141",
"telephone_number": "239-204-7307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALZHEIMER'S TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "ROBINSON",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "239-204-7307",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273483400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alzheimer's Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alva, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.