Organization Active NPI

Patmos Health Care LLC

  • Psychologist
  • Orlando, FL
National Provider Identifier
1184995441
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PATMOS HEALTH CARE LLC
Practice address
10151 University Blvd
Orlando, FL 32817-1904
Phone
(816) 516-7114
Fax
(816) 761-1899
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Craig Erisman, PSYD
Title
President
Phone
(816) 516-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10151 University Blvd
Orlando, FL 32817-1904

Mailing address

2900 SW 13TH St
Lees Summit, MO 64081-3800
Phone (816) 516-7114

National Provider Directory

National Provider Directory

Locations

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

8001 Pin Oak Dr
Orlando, FL 32819
Phone (321) 422-2254

3791 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 892-8502

7199 Greenboro Dr
West Melbourne, FL 32904
Phone (321) 951-4455

107 Hammond Ln
Plattsburgh, NY 12901
Phone (617) 355-6571

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": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1184995441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800",
            "telephone_number": "816-516-7114",
            "fax_number": "816-761-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 UNIVERSITY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171904",
            "telephone_number": "816-516-7114",
            "fax_number": "816-761-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATMOS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "ERISMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-516-7114",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2012; 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.