Organization Active NPI

Global Medical and Behavioral Health Corporation

  • Community/Behavioral Health Agency
  • Daytona Beach, FL
National Provider Identifier
1285008318
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH8653 Issued in FL
Legal business name
GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION
Practice address
1183 Suwanee Rd
Daytona Beach, FL 32114-5916
Phone
(813) 997-2397
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Jeffery Haynes, PH.D.
Title
President/Ceo
Phone
(813) 997-2397

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0001221676 VA
Home Health Agency 251E00000X RN9365072 FL
Nursing Care Agency 251J00000X RN9365072 FL
Nursing Care Agency 251J00000X 0001221676 VA
Community/Behavioral Health Agency 251S00000X MH8653 FL Primary
Community/Behavioral Health Agency 251S00000X 0701006086 VA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MH8653 FL

Addresses

Primary practice location

1183 Suwanee Rd
Daytona Beach, FL 32114-5916

Mailing address

1183 Suwanee Rd
Daytona Beach, FL 32114-5916
Phone (813) 997-2397

National Provider Directory

National Provider Directory

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1285008318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 SUWANEE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145916",
            "telephone_number": "813-997-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 SUWANEE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145916",
            "telephone_number": "813-997-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MEDICAL AND BEHAVIORAL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-997-2397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "0001221676",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "RN9365072",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9365072",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "0001221676",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH8653",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006086",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "MH8653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.