Active NPI
Crescent Therapy and Assessment Services, LLC
- Community/Behavioral Health Agency
- Lake Mary, FL
National Provider Identifier
1447693817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PY8557
- 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, 2013
- 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
- Dr. Raena Roshana Baptiste-Boles, PSY.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Psychologist
- Arcadia, FL
- NPI 1902057409
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.