Organization Active NPI

Crescent Therapy and Assessment Services, LLC

  • Community/Behavioral Health Agency
  • Lake Mary, FL
National Provider Identifier
1447693817
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY8557 Issued in FL
Legal business name
CRESCENT THERAPY AND ASSESSMENT SERVICES, LLC
Practice address
160 International Pkwy
Suite 250
Lake Mary, FL 32746-5056
Phone
(407) 494-4388
Fax
(321) 233-0272
NPI assigned
Apr 16, 2013
Last updated
Apr 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Raena Roshana Baptiste-Boles, PSY.DNPI 1902057409
Title
Psychologist/Owner
Phone
(321) 230-0029

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
Community/Behavioral Health Agency 251S00000X PY8557 FL Primary

Addresses

Primary practice location

160 International Pkwy
Suite 250
Lake Mary, FL 32746-5056

Mailing address

2810 San Jacinto Cir
Sanford, FL 32771-6109
Phone (321) 230-0029

National Provider Directory

National Provider Directory

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1447693817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 SAN JACINTO CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716109",
            "telephone_number": "321-230-0029",
            "fax_number": "321-233-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 INTERNATIONAL PKWY",
            "address_2": "SUITE 250",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465056",
            "telephone_number": "407-494-4388",
            "fax_number": "321-233-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT THERAPY AND ASSESSMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE-BOLES",
        "authorized_official_first_name": "RAENA",
        "authorized_official_middle_name": "ROSHANA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "321-230-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY8557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.