Active NPI
Behavioral Health of Ormond Beach
- Psychiatric/Mental Health Nurse Practitioner
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEHAVIORAL HEALTH OF ORMOND BEACH
- Practice address
- 533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422 - Phone
- (386) 672-7470
- Fax
- (386) 672-0771
- NPI assigned
- Oct 15, 2007
- Last updated
- Nov 1, 2016
- 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
- Sandra L Brooks, ARNP PA
- Title
- Owner
- Phone
- (386) 672-7470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422
Mailing address
533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422
Phone (386) 672-7470
National Provider Directory
National Provider DirectoryLocations
533 N Nova Rd
Ste 203
Ormond Beach, FL 32174
Phone (386) 672-7175
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Ormond Beach, FL
- NPI 1790783207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1427247550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 N NOVA RD STE 203",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744422",
"telephone_number": "386-672-7470",
"fax_number": "386-672-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 N NOVA RD STE 203",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744422",
"telephone_number": "386-672-7470",
"fax_number": "386-672-0771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH OF ORMOND BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-672-7470",
"authorized_official_credential": "ARNP PA"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.