NPIMap

Organization Active NPI

Banyan Sebring

  • Substance Abuse Rehabilitation Facility
  • Sebring, FL
National Provider Identifier
1417690348
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BANYAN SEBRING
Practice address
1062 Lake Sebring Dr
Sebring, FL 33870-1426
Phone
(863) 451-0084
Fax
(863) 658-4120
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Anastasia Nichole Nauman
Title
Contracting and Cred Manger
Phone
(410) 800-8861

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1062 Lake Sebring Dr
Sebring, FL 33870-1426

Mailing address

225 N Federal Hwy
Pompano Beach, FL 33062-4319
Phone (900) 023-5561

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2262301Banyan Sebring, LLC1062 Lake Sebring Dr, Sebring, FL 33870Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Banyan Sebring2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1062 Lake Sebring Dr
Sebring, FL 33870
Phone (863) 451-0084

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1417690348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "900-023-5561",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 LAKE SEBRING DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701426",
            "telephone_number": "863-451-0084",
            "fax_number": "863-658-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN SEBRING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "NAUMAN",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CONTRACTING AND CRED MANGER",
        "authorized_official_telephone_number": "410-800-8861"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.