Active NPI
Chanda Payoute
- Behavior Technician
- Lauderdale Lakes, FL
National Provider Identifier
1508572579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 860480
- Practice address
- 4620 N State Road 7 Ste 3004620N
Lauderdale Lakes, FL 33319-5884 - Phone
- (561) 764-7692
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 860480 | FL | Primary |
Addresses
Primary practice location
4620 N State Road 7 Ste 3004620N
Lauderdale Lakes, FL 33319-5884
Mailing address
530 NW 194TH St
Miami Gardens, FL 33169-3539
Phone (305) 450-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860480 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cpayoute@abacentersfl.com | Health Information Exchange (HIE) | ABA Centers of America LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860480 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1508572579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NW 194TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331693539",
"telephone_number": "305-450-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 N STATE ROAD 7 STE 3004620N",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195884",
"telephone_number": "561-764-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYOUTE",
"first_name": "CHANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "860480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "860480",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpayoute@abacentersfl.com",
"affiliation": "Y",
"affiliationName": "ABA Centers of America LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "639 Granite St",
"city": "Braintree",
"state": "MA",
"country_code": "US",
"postal_code": "021845366",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lauderdale Lakes, FL
- Niral Patel, DO
- Patricia M Martindale MD PA
- Paul Esposito M.D. Facs PA
- Paula Locke, LCSW, Cap, PA (Total Intervention Early Services (TIES))
- John Damon Pavlus, M.D.
- PCP of Lauderdale LKS
- Peace of Mind Recovery Center Inc.
- Peace of Mind Recovery Center Inc.
- Pediatric Associates PSN LLC
- Emmane Pemberton, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.