Organization Active NPI

Jillian Sterner

  • Community/Behavioral Health Agency
  • West Melbourne, FL
National Provider Identifier
1508271461
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMT 2116 Issued in FL
Legal business name
JILLIAN STERNER
Practice address
1798 Maeve Cir
West Melbourne, FL 32904-7350
Phone
(321) 223-7070
NPI assigned
Jun 30, 2014
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Jillian Sterner
Title
MFT Contractor
Phone
(321) 223-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMT 2116 FL Primary

Addresses

Primary practice location

1798 Maeve Cir
West Melbourne, FL 32904-7350

Mailing address

1798 Maeve Cir
West Melbourne, FL 32904-7350
Phone (321) 223-7070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1508271461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 MAEVE CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047350",
            "telephone_number": "321-223-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 MAEVE CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047350",
            "telephone_number": "321-223-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN STERNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "STERNER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "MFT CONTRACTOR",
        "authorized_official_telephone_number": "321-223-7070"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMT 2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.