Organization Active NPI

Brookwood Florida - East, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Coral Springs, FL
National Provider Identifier
1083618649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BROOKWOOD FLORIDA - EAST, INC.
Practice address
11461 NW 43Rd St
Coral Springs, FL 33065-7180
Phone
(727) 822-4789
Fax
(727) 896-4475
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pamela Jean Mesmer, PH.D., LMHC
Title
Executive Director
Phone
(727) 822-4789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X FL Primary

Addresses

Primary practice location

11461 NW 43Rd St
Coral Springs, FL 33065-7180

Mailing address

11461 NW 43Rd St
Coral Springs, FL 33065-7180
Phone (727) 822-4789

National Provider Directory

National Provider Directory

Locations

11461 NW 43rd St
Coral Springs, FL 33065
Phone (727) 822-4789

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083618649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11461 NW 43RD ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657180",
            "telephone_number": "727-822-4789",
            "fax_number": "727-896-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11461 NW 43RD ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657180",
            "telephone_number": "727-822-4789",
            "fax_number": "727-896-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD FLORIDA - EAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESMER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-822-4789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.