Organization Active NPI

Linzey Faison Mental Health Associates Inc

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Chattahoochee, FL
National Provider Identifier
1285679340
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
FL637562 Issued in FL
Legal business name
LINZEY FAISON MENTAL HEALTH ASSOCIATES INC
Practice address
501 S Bolivar St
Chattahoochee, FL 32324-1347
Phone
(850) 663-4347
Fax
(850) 663-4727
NPI assigned
Jun 20, 2006
Last updated
Dec 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Mr. Linzey R. Faison, ARNP, CNS
Title
President
Phone
(850) 663-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X FL637562 FL Primary

Addresses

Primary practice location

501 S Bolivar St
Chattahoochee, FL 32324-1347

Mailing address

PO Box 486
Chattahoochee, FL 32324-0486
Phone (850) 663-4347

Other identifiers 1

IdentifierTypeStateIssuer
301562900MedicaidFL

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1285679340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323240486",
            "telephone_number": "850-663-4347",
            "fax_number": "850-663-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BOLIVAR ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241347",
            "telephone_number": "850-663-4347",
            "fax_number": "850-663-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINZEY FAISON MENTAL HEALTH ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "FAISON",
        "authorized_official_first_name": "LINZEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-663-4347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP, CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "FL637562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301562900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattahoochee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.