Individual provider Active NPI

Celina Gorut

  • Community/Behavioral Health Agency
  • Sunrise, FL
National Provider Identifier
1386993426
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
G630100818110 Issued in FL
Practice address
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone
(954) 727-0821
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X G630100818110 FL Primary

Addresses

Primary practice location

440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236

Mailing address

440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone (954) 727-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G630100818110FLMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1386993426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256236",
            "telephone_number": "954-727-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256236",
            "telephone_number": "954-727-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORUT",
        "first_name": "CELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "G630100818110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.