NPIMap

Organization Active NPI

SP Behavioral LLC

Doing business as Sandypines

  • Psychiatric Residential Treatment Facility
  • Tequesta, FL
National Provider Identifier
1467514398
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
4462 Issued in FL
Legal business name
SP BEHAVIORAL LLC
Doing business as
Sandypines
Practice address
11301 SE Tequesta Ter
Tequesta, FL 33469-8146
Phone
(561) 744-0211
Fax
(561) 575-1445
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 738-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 4462 FL Primary

Addresses

Primary practice location

11301 SE Tequesta Ter
Tequesta, FL 33469-8146

Mailing address

11301 SE Tequesta Ter
Tequesta, FL 33469-8146
Phone (561) 744-0211

Other identifiers 1

IdentifierTypeStateIssuer
070694917MedicaidFL

Other names 1

  • SANDYPINES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sandy Pines3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11301 SE Tequesta Ter
Tequesta, FL 33469
Phone (561) 744-0211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1467514398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 SE TEQUESTA TER",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334698146",
            "telephone_number": "561-744-0211",
            "fax_number": "561-575-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 SE TEQUESTA TER",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334698146",
            "telephone_number": "561-744-0211",
            "fax_number": "561-575-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-738-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070694917",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANDYPINES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.