TMZ Behavioral Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TMZ BEHAVIORAL CARE

Practice address

1210 SW 118TH Ter
Davie, FL 33325-3879

Phone

(786) 357-5140

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Charline Boufin TebeuNPI 1558022608

Title

Pmhnp

Phone

(786) 357-5140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charline Boufin Tebeu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Davie, FL
  • NPI 1558022608
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1073244745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SW 118TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253879",
            "telephone_number": "786-357-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SW 118TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253879",
            "telephone_number": "786-357-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMZ BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "BOUFIN TEBEU",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "786-357-5140"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.