Prosperous Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROSPEROUS BEHAVIORAL HEALTH, LLC

Practice address

4309 W Atlantic Blvd Apt 917
Coconut Creek, FL 33066-1758

Phone

(954) 338-9738

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Fanette Prospere, NPNPI 1760067268

Title

Pmhnp/Owner

Phone

(954) 338-9738

Specialties & licenses 2

Addresses

Practitioners 1

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

• Fanette Prospere, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lauderdale Lakes, FL
  • NPI 1760067268
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1194452631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5379 LYONS RD # 1860",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732810",
            "telephone_number": "954-338-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W ATLANTIC BLVD APT 917",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661758",
            "telephone_number": "954-338-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPEROUS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "PROSPERE",
        "authorized_official_first_name": "FANETTE",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "954-338-9738",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.