Organization Active NPI

Diversified Behavioral Health Services Inc.

  • Case Management Agency
  • Orlando, FL
National Provider Identifier
1376855155
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
MH4900 Issued in FL
Legal business name
DIVERSIFIED BEHAVIORAL HEALTH SERVICES INC.
Doing business as
DBHS Inc.
Practice address
2404 Monte Carlo TRL
Orlando, FL 32805-3527
Phone
(352) 219-2276
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mr. Anthony Tu Juan Adams, LMHC, NBCC
Title
Licensed Mental Health Counselor
Phone
(352) 219-2276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MH4900 FL Primary
Community/Behavioral Health Agency 251S00000X MH4900 FL

Addresses

Primary practice location

2404 Monte Carlo TRL
Orlando, FL 32805-3527

Mailing address

2404 Monte Carlo TRL
Orlando, FL 32805-3527
Phone (352) 219-2276

Other names 1

  • DBHS Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1376855155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 MONTE CARLO TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053527",
            "telephone_number": "352-219-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 MONTE CARLO TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053527",
            "telephone_number": "352-219-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "TU JUAN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "352-219-2276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, NBCC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "MH4900",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH4900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBHS Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.