Active NPI
Beltran Behavioral Health,LLC
- Psychologist
- Kissimmee, FL
National Provider Identifier
1053510883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY7102
- Legal business name
- BELTRAN BEHAVIORAL HEALTH,LLC
- Practice address
- 3214 Hillsdale LN
Kissimmee, FL 34741-7562 - Phone
- (407) 518-9161
- Fax
- (407) 518-9942
- NPI assigned
- Jul 12, 2007
- 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
- Mrs. Angela M Beltran
- Title
- Office Manager
- Phone
- (407) 518-9161
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY7102 | FL | Primary |
| Community/Behavioral Health Agency | 251S00000X | MH 8768 | FL |
Addresses
Primary practice location
3214 Hillsdale LN
Kissimmee, FL 34741-7562
Mailing address
3214 Hillsdale LN
Kissimmee, FL 34741-7562
Phone (407) 518-9161
Other names 1
- Logos CE Corporation
National Provider Directory
National Provider Directory- Tax ID family
- Beltran Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1003566050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1053510883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 HILLSDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417562",
"telephone_number": "407-518-9161",
"fax_number": "407-518-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 HILLSDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417562",
"telephone_number": "407-518-9161",
"fax_number": "407-518-9942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELTRAN BEHAVIORAL HEALTH,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-12",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "407-518-9161",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY7102",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MH 8768",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Logos CE Corporation",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.