Organization Active NPI

Behavioral Health of Ormond Beach

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1427247550
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Sandra L Brooks, ARNP PANPI 1790783207
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.