Back 2 Basics, Behavioral Health Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BACK 2 BASICS, BEHAVIORAL HEALTH CENTER, INC.

Practice address

845 W Jasmine Dr
Lake Park, FL 33403-2105

Phone

(561) 876-5100

NPI assigned

Mar 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sigrid Allen

Title

President

Phone

(561) 876-5100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1053738658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W JASMINE DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032105",
            "telephone_number": "561-876-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W JASMINE DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032105",
            "telephone_number": "561-876-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 BASICS, BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-876-5100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.