Active NPI
The Headache Clinic
- Clinic/Center
- Chuluota, FL
National Provider Identifier
1386366763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- THE HEADACHE CLINIC
- Practice address
- 1942 W County Road 419 Ste 1050
Chuluota, FL 32766-9024 - Phone
- (321) 451-2576
- Fax
- (407) 255-2361
- NPI assigned
- Sep 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aamir Shahid Khattak
- Title
- Credentialing Manager
- Phone
- (800) 000-0000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1942 W County Road 419 Ste 1050
Chuluota, FL 32766-9024
Mailing address
1942 W County Road 419 Ste 1050
Chuluota, FL 32766-9024
Phone (321) 451-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1942 W County Road 419
Ste 1050
Chuluota, FL 32766
Phone (321) 451-2576
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Chuluota, FL
- NPI 1700413937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1386366763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 W COUNTY ROAD 419 STE 1050",
"city": "CHULUOTA",
"state": "FL",
"postal_code": "327669024",
"telephone_number": "321-451-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 W COUNTY ROAD 419 STE 1050",
"city": "CHULUOTA",
"state": "FL",
"postal_code": "327669024",
"telephone_number": "321-451-2576",
"fax_number": "407-255-2361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEADACHE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-13",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "KHATTAK",
"authorized_official_first_name": "AAMIR",
"authorized_official_middle_name": "SHAHID",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "800-000-0000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chuluota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.