Ebh Services of Florida

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME110917 Issued in FL

Legal business name

EBH SERVICES OF FLORIDA

Doing business as

Lucida Treatment Center Prof

Practice address

112 N Oak St
Suite 109
Lantana, FL 33462-3260

Phone

(561) 337-2600

NPI assigned

Feb 24, 2016

Organization subpart

Yes

Parent organization

DAVID A SACK MD TN PCAs reported in NPPES

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

Authorized official

Name

Cheryl Maplesden, CPC, CHC, CHPC

Title

Director, Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 4

Addresses

Other names 1

• Lucida Treatment Center Prof Doing business as

Tax ID family

Ebh Services of Florida2 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.

• Ebh Services of Florida, Inc.

  dba Lucida Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Lantana, FL
  • NPI 1841627171
  NPD tax ID

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1437519055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670521",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670521",
            "telephone_number": "615-567-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N OAK ST",
            "address_2": "SUITE 109",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623260",
            "telephone_number": "561-337-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH SERVICES OF FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID A SACK MD TN PC",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110917",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1688752",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP3156662",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "RN9366620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucida Treatment Center Prof",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dorce, D.O.
• Sally Johanna Dorpfeld, LMHC,LPC,MCAP,ICADC
• Rhonda Ann Ducharme
• Judy Diane Duncan, PHARM D.
• Wynna Diann Dunmyer, RD, LD/N
• Ebh Services of Florida, Inc. (Lucida Treatment Center)
• Elevare DME Solutions
• Elite Medical Supply, LLC
• Elite Recovery Resources LLC
• Elite Senior Home Care LLC

• Psychiatry Physician in Lantana, FL
• Providers in Lantana, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.