Organization Active NPI

Pleasant Behavioral Health Systems LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1093314031
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PLEASANT BEHAVIORAL HEALTH SYSTEMS LLC
Practice address
7200 Lake Ellenor Dr Ste 200
Orlando, FL 32809-6200
Phone
(407) 845-4444
Fax
(407) 845-4446
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Mr. Natwan Logan, ED.S
Title
Coo
Phone
(410) 298-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7200 Lake Ellenor Dr Ste 200
Orlando, FL 32809-6200

Mailing address

6314 Windsor Mill Rd Ste 301
Baltimore, MD 21207-6096
Phone (410) 298-7788

Other identifiers 1

IdentifierTypeStateIssuer
237002600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Behavioral Health Systems LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7200 Lk Ellenor Dr
Ste 200
Orlando, FL 32809
Phone (407) 440-2877

6314 Windsor Mill Rd
Ste 301
Baltimore, MD 21207

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1093314031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 WINDSOR MILL RD STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076096",
            "telephone_number": "410-298-7788",
            "fax_number": "410-298-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096200",
            "telephone_number": "407-845-4444",
            "fax_number": "407-845-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT BEHAVIORAL HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "NATWAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-298-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237002600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

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