NPIMap

Organization Active NPI

Carrousel Therapy Center Corporation

Doing business as Carrousel Behavioral Health Services

  • Speech-Language Pathologist
  • Saint Cloud, FL
National Provider Identifier
1083167530
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
882 Issued in PR
Legal business name
CARROUSEL THERAPY CENTER CORPORATION
Doing business as
Carrousel Behavioral Health Services
Practice address
3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone
(407) 891-3054
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Jose Rivera
Title
Vice President
Phone
(407) 414-8409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 882 PR Primary

Addresses

Primary practice location

3201 Budinger Ave
Saint Cloud, FL 34769-7203

Mailing address

2520 Sand Mine Rd
Davenport, FL 33897-3402
Phone (407) 891-3054

Other identifiers 1

IdentifierTypeStateIssuer
003711300MedicaidFL

Other names 1

  • CARROUSEL BEHAVIORAL HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carrousel Therapy Center Corporation11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2520 Sand Mine Rd
Davenport, FL 33897
Phone (407) 891-3054

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1083167530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAND MINE RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338973402",
            "telephone_number": "407-891-3054",
            "fax_number": "800-477-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697203",
            "telephone_number": "407-891-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROUSEL THERAPY CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-414-8409"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003711300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARROUSEL BEHAVIORAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.