Active NPI
Becky Durham-Flint, P.a.
- Community/Behavioral Health Agency
- Indialantic, FL
National Provider Identifier
1245552876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 000389
- Legal business name
- BECKY DURHAM-FLINT, P.A.
- Practice address
- 105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365 - Phone
- (321) 733-2299
- Fax
- (321) 733-7515
- NPI assigned
- Feb 23, 2010
- Last updated
- Feb 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky T Durham, MSW, LCSW
- Title
- Owner
- Phone
- (321) 733-2299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 000389 | FL | Primary |
Addresses
Primary practice location
105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365
Mailing address
105 S Riverside Dr
Suite 100
Indialantic, FL 32903-4365
Phone (321) 733-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 S Riverside Dr
Ste 100
Indialantic, FL 32903
Phone (321) 733-2299
105 S Riverside Dr
Ste 122
Indialantic, FL 32903
Phone (321) 506-4224
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Indialantic, FL
- NPI 1851328470
-
- Clinical Social Worker
- Indialantic, FL
- NPI 1164426557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266883200000",
"number": "1245552876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S RIVERSIDE DR",
"address_2": "SUITE 100",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034365",
"telephone_number": "321-733-2299",
"fax_number": "321-733-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S RIVERSIDE DR",
"address_2": "SUITE 100",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034365",
"telephone_number": "321-733-2299",
"fax_number": "321-733-7515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKY DURHAM-FLINT, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-733-2299",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "000389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
- Michael A Baiker, D.D.S.
- Edward Floyd Baines, D.D.S.
- Barbara M Paulillo PSYD & Robert Paulillo PSYD PA
- Beachside Counseling and Wellness, LLC
- Deborah Lynn Beard, NHA
- Behavior & Cognitive Therapy, Inc. (BCT)
- Beyond Bliss Wellness, LLC
- Birth Naturally Brevard, LLC
- Robert Bisset, MD
- Annmarie Bloch, RNFA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.