Organization Active NPI

SPMJ, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Merritt Island, FL
National Provider Identifier
1104397629
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SPMJ, INC.
Practice address
375 S Courtenay Pkwy Ste 7a
Merritt Island, FL 32952-4868
Phone
(561) 715-3260
Fax
(512) 532-0923
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mark NonsantNPI 1811549157
Title
Operations Director
Phone
(407) 684-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

375 S Courtenay Pkwy Ste 7a
Merritt Island, FL 32952-4868

Mailing address

375 S Courtenay Pkwy Ste 7a
Merritt Island, FL 32952-4868
Phone (561) 715-3260

Other practice location 1

441 S State Road 7 Ste 15
Margate, FL 33068-1967
Phone (561) 715-3260

Other practice location 2

6735 Conroy Rd Ste 303
Orlando, FL 32835-3569
Phone (561) 715-3260

Other names 1

  • Purpose Recovery and Addiction Center Doing business as

National Provider Directory

National Provider Directory

Locations

6735 Conroy Rd
Ste 303
Orlando, FL 32835
Phone (407) 300-2830

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1104397629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY STE 7A",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524868",
            "telephone_number": "561-715-3260",
            "fax_number": "512-532-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY STE 7A",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524868",
            "telephone_number": "561-715-3260",
            "fax_number": "512-532-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S State Road 7 Ste 15",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330681967",
            "country_code": "US",
            "telephone_number": "561-715-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6735 Conroy Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353569",
            "country_code": "US",
            "telephone_number": "561-715-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPMJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "NONSANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "407-684-2055"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purpose Recovery and Addiction Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.