Organization Active NPI

Brandon Harris

  • Community/Behavioral Health Agency
  • Boca Raton, FL
National Provider Identifier
1265840219
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH 11597 Issued in FL
Legal business name
BRANDON HARRIS
Practice address
5640 Pacific Blvd Apt 1035
Boca Raton, FL 33433-6709
Phone
(954) 552-9773
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Brandon Harris
Title
Therapist
Phone
(954) 552-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH 11597 FL Primary

Addresses

Primary practice location

5640 Pacific Blvd Apt 1035
Boca Raton, FL 33433-6709

Mailing address

5640 Pacific Blvd Apt 1035
Boca Raton, FL 33433-6709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1265840219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 PACIFIC BLVD APT 1035",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 PACIFIC BLVD APT 1035",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336709",
            "telephone_number": "954-552-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-552-9773"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.