Majestic Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0764AD478701 Issued in FL

Legal business name

MAJESTIC BEHAVIORAL SERVICES

Practice address

1057 Mason Ave
Daytona Beach, FL 32117-4611

Phone

(386) 253-9391

Fax

(386) 253-9391

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. La Toya Sharnett Gregory, MBA, CCJAP, CAP

Title

Executive Director

Phone

(386) 253-9391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1245620327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174611",
            "telephone_number": "386-253-9391",
            "fax_number": "386-253-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174611",
            "telephone_number": "386-253-9391",
            "fax_number": "386-253-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "LA TOYA",
        "authorized_official_middle_name": "SHARNETT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-253-9391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, CCJAP, CAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0764AD478701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravinkumar Maheshkumar, DO
• Mohamed Elsayed Mohamed Mahmoud, MD
• Benjamin Michael Mahon, M.D.
• Amanda Maidlow
• David Maish, RCSWI
• Maka McLoughlin, LLC
• Abhigyan H Malhotra, MD
• Vinod K Malik, M.D.
• Jawed Akhter Mallick, MBBS
• Mallory Chiropractic Clinic PA (Neck Back & Headache Relief Center)

• Community/Behavioral Health Agency in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.