Organization Active NPI

Brevard Behavioral Consultants, Inc

  • Community/Behavioral Health Agency
  • Melbourne, FL
National Provider Identifier
1336434836
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BREVARD BEHAVIORAL CONSULTANTS, INC
Practice address
1900 S Harbor City Blvd Ste 220
Melbourne, FL 32901-4901
Phone
(321) 432-9738
Fax
(321) 296-7144
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Kevin CarraroNPI 1649565144
Title
Executive Director
Phone
(321) 544-7684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1900 S Harbor City Blvd Ste 220
Melbourne, FL 32901-4901

Mailing address

1900 S Harbor City Blvd Ste 220
Melbourne, FL 32901-4901
Phone (321) 432-9738

National Provider Directory

National Provider Directory

Locations

1900 S Harbor City Blvd
Ste 220
Melbourne, FL 32901
Phone (321) 432-9738

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1336434836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD STE 220",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014901",
            "telephone_number": "321-432-9738",
            "fax_number": "321-296-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD STE 220",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014901",
            "telephone_number": "321-432-9738",
            "fax_number": "321-296-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD BEHAVIORAL CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "CARRARO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-544-7684"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.