Mendoza Behavioral Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ACN216 Issued in FL

Legal business name

MENDOZA BEHAVIORAL HEALTH LLC

Practice address

110 Orange Ave
Daytona Beach, FL 32114-4310

Phone

(386) 256-4326

NPI assigned

May 22, 2017

Last updated

Jun 11, 2019By 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

Liana Mendoza, MDNPI 1750585139

Title

Psychiatrist

Phone

(386) 254-2637

Specialties & licenses 1

Addresses

Locations

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.

• Liana M. Mendoza, M.D.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1750585139
  NPD Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1295262137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144310",
            "telephone_number": "386-256-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOZA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "386-254-2637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ACN216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Health Systems Inc (AdventHealth Daytona Beach)
• Memorial Health Systems Inc (AdventHealth Medical Group)
• Memorial Health Systems Inc.
• Memorial Health Systems Inc. (HCP Radiology Consultants)
• Milton Mendez, MD
• Gerolyn Ivette Meneses
• Kari Menhennett
• Kimberly Ann Menza, O.D.
• Juan Jose Mercado, M.D.
• Matthew M Merrell, MD

• Psychiatry Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.