Center for Behavioral Medicine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CENTER FOR BEHAVIORAL MEDICINE

Practice address

1730 Dunlawton Ave
Suite 3
Port Orange, FL 32127-8985

Phone

(386) 957-3905

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Anthony Capozzi, MD

Title

Psychiatrist

Phone

(386) 957-3905

Specialties & licenses 1

Addresses

Tax ID family

Center for Behavioral Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Behavioral Medicine

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1003348855
  NPD tax ID

Locations

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1083014724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE",
            "address_2": "SUITE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278985",
            "telephone_number": "386-957-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DUNLAWTON AVE",
            "address_2": "SUITE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278985",
            "telephone_number": "386-957-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "CAPOZZI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "386-957-3905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Gerard Castellano
• Maralice Idette Castellow, RPH
• Holly Caudill
• Celebrate the Struggle LLC
• Center for Behavioral Medicine
• Centerwell Pharmacy, Inc.
• James Whelan Cerbone
• Janet L Chace, PHLEBOTOMIST
• Amandeep Singh Chadda, D.M.D.
• Harvinder S Chadda, B DS

• Medical Specialty Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.