Organization Active NPI

Premier Behavioral Services of FL, Inc.

  • Community/Behavioral Health Agency
  • Jupiter, FL
National Provider Identifier
1427569359
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PREMIER BEHAVIORAL SERVICES OF FL, INC.
Practice address
17713 SE Federal Hwy
Jupiter, FL 33469-3409
Phone
(919) 285-1593
Fax
(919) 285-1593
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Santhosh Augustine, MD
Title
Ceo
Phone
(919) 285-1593

Specialties & licenses 1

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

Addresses

Primary practice location

17713 SE Federal Hwy
Jupiter, FL 33469-3409

Mailing address

2003 Godwin Ave Ste B
Lumberton, NC 28358-3150

National Provider Directory

National Provider Directory

Locations

17713 SE Federal Hwy
Jupiter, FL 33469
Phone (919) 285-1593

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1427569359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17713 SE FEDERAL HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334693409",
            "telephone_number": "919-285-1593",
            "fax_number": "919-285-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL SERVICES OF FL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "SANTHOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-285-1593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.