Mental Health Ctr. of Englewood, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MENTAL HEALTH CTR. OF ENGLEWOOD, INC

Practice address

1460 S McCall Rd
Suite 1 a
Englewood, FL 34223-4864

Phone

(941) 475-8392

Fax

(941) 475-4132

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By 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

Doris K. Bohan, ED.D

Title

Executive Director

Phone

(941) 475-8392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386787133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD",
            "address_2": "SUITE 1 A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234864",
            "telephone_number": "941-475-8392",
            "fax_number": "941-475-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD",
            "address_2": "SUITE 1 A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234864",
            "telephone_number": "941-475-8392",
            "fax_number": "941-475-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CTR. OF ENGLEWOOD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOHAN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "941-475-8392",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Englewood, FL
• Providers in Englewood, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.