NPIMap

Organization Active NPI

South Florida Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Hobe Sound, FL
National Provider Identifier
1396040937
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SOUTH FLORIDA BEHAVIORAL HEALTH
Practice address
11900 SE Federal Hwy
Suite 213
Hobe Sound, FL 33455-5320
Phone
(772) 546-3455
Fax
(772) 546-3597
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Mr. Jason T Ackner
Title
Executive Director
Phone
(772) 546-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

11900 SE Federal Hwy
Suite 213
Hobe Sound, FL 33455-5320

Mailing address

11900 SE Federal Hwy
Suite 213
Hobe Sound, FL 33455-5320
Phone (772) 546-3455

National Provider Directory

National Provider Directory

Locations

11900 SE Federal Hwy
Ste 213
Hobe Sound, FL 33455
Phone (772) 546-3455

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1396040937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SE FEDERAL HWY",
            "address_2": "SUITE 213",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555320",
            "telephone_number": "772-546-3455",
            "fax_number": "772-546-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SE FEDERAL HWY",
            "address_2": "SUITE 213",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555320",
            "telephone_number": "772-546-3455",
            "fax_number": "772-546-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "ACKNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-546-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.