Behavioral Health Minute Clinic LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

BEHAVIORAL HEALTH MINUTE CLINIC LLC

Practice address

1971 Lee Rd Ste 203
Winter Park, FL 32789-1875

Phone

(407) 450-8151

Fax

(321) 363-1912

NPI assigned

May 7, 2019

Organization subpart

No

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

Authorized official

Name

Rena Peterson, PSYDNPI 1306012919

Title

Owner

Phone

(561) 702-9216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rena Peterson, PSY.D.

  • Psychologist
  • Winter Park, FL
  • NPI 1306012919
  Medicare reassignment Care Compare group NPD Authorized official
• Dally I Rios-Ortega, PSY.D

  • Psychologist
  • Orlando, FL
  • NPI 1659621324
  Medicare reassignment Care Compare group NPD
• Antonio Cruz, LCSW

  • Clinical Social Worker
  • Winter Garden, FL
  • NPI 1669033577

  Single Specialty

  Medicare reassignment NPD
• Lesley Hulett-Johnson, PSY.D.

  • Clinical Psychologist
  • Winter Springs, FL
  • NPI 1407899008
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1336704154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 WOLDUNN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465914",
            "telephone_number": "561-702-9216",
            "fax_number": "321-363-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 LEE RD STE 203",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891875",
            "telephone_number": "407-450-8151",
            "fax_number": "321-363-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH MINUTE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-702-9216",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Bruce Bedgood Jr.
• Jeffrey Scott Bedwell, PH.D.
• Karen Sue Beerbower, MS, RDN, LD
• Begonia Therapeutic Inc
• Behavioral Associates of Central Florida, Inc
• Behavioral Health Specialists
• Behavioral Support Services
• Behavioral Support Services Inc
• Heather Behr, PHD, CNS
• Heidi M Behr, LCSW, MSW, MPH, CAP

• Group Psychotherapy Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.