Neurocove Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEUROCOVE BEHAVIORAL HEALTH, LLC

Practice address

1317 Edgewater Dr # 117
Orlando, FL 32804-6350

Phone

(321) 754-9099

NPI assigned

May 11, 2021

Last updated

Oct 12, 2022By 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

Dr. Benson George Munyan III, PHDNPI 1205328390

Title

Director

Phone

(321) 754-9099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benson Munyan, PhD Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Benson George Munyan III, PH.D.

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1205328390
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas James, PH.D.

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1104498252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1356925861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 AVALON PARK E BLVD STE 1",
            "address_2": "IPMB 3039",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286350",
            "telephone_number": "321-754-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "321-754-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCOVE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MUNYAN",
        "authorized_official_first_name": "BENSON",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-754-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA BLUE",
            "identifier": "1AOUI",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@neurocovebehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact INfo",
            "address_1": "1317 Edgewater Dr # 117",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328046350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Benson Munyan, PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Netherfield Place PLLC
• Amy Neuman, OT/L
• Callie Mireya Neuman, APRN
• Karoline Elizabeth Neumann, APRN
• Gladys Coromoto Neumayer, MT
• Neurohospitalists of Florida, P.a.
• Neurologic Physical Therapy Specialist
• Neurological Health Associates
• Neurological Health Associates, L.L.C.
• Neurological Services of Orlando PA

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.