Organization Active NPI

Superstar Kids Services Inc

  • Behavior Analyst
  • Saint Cloud, FL
National Provider Identifier
1164001616
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUPERSTAR KIDS SERVICES INC
Practice address
4271 Neptune Rd
Saint Cloud, FL 34769-6744
Phone
(407) 308-2666
NPI assigned
Apr 2, 2021
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Maria Eugenia VegaNPI 1972079325
Title
President
Phone
(407) 308-2666

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Behavior Analyst 103K00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

4271 Neptune Rd
Saint Cloud, FL 34769-6744

Mailing address

4271 Neptune Rd
Saint Cloud, FL 34769-6744
Phone (407) 308-2666

National Provider Directory

National Provider Directory

Locations

4271 Neptune Rd
Saint Cloud, FL 34769
Phone (407) 219-0391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1164001616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 NEPTUNE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696744",
            "telephone_number": "407-308-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 NEPTUNE RD",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696744",
            "telephone_number": "407-308-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTAR KIDS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-308-2666"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 2024; 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.