NPIMap

Organization Active NPI

Florida Institute of Technology

  • Community/Behavioral Health Agency
  • Melbourne, FL
National Provider Identifier
1558520148
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORIDA INSTITUTE OF TECHNOLOGY
Practice address
150 W University Blvd
The Scott Center for Autism Treatment
Melbourne, FL 32901
Phone
(321) 674-8106
Fax
(321) 674-8411
NPI assigned
Jun 9, 2008
Organization subpart
Yes
Parent organization
FLORIDA INSTITUTE OF TECHNOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Ashley Adams
Title
Clinical Operations Associate
Phone
(321) 674-8106

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X FL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X FL
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

150 W University Blvd
The Scott Center for Autism Treatment
Melbourne, FL 32901

Mailing address

150 W University Blvd
The Scott Center for Autism Treatment
Melbourne, FL 32901-6975
Phone (321) 674-8106

Other identifiers 1

IdentifierTypeStateIssuer
017501800MedicaidFL

Other names 1

  • Nonprofit Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Psychological Services3 organizations share this tax ID, including this one
Part of
Community Psychological Services

Other organizations with this tax ID 2

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

Locations

150 W University Blvd
Melbourne, FL 32901
Phone (321) 674-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1558520148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "address_2": "THE SCOTT CENTER FOR AUTISM TREATMENT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016975",
            "telephone_number": "321-674-8106",
            "fax_number": "321-674-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W UNIVERSITY BLVD",
            "address_2": "THE SCOTT CENTER FOR AUTISM TREATMENT",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-674-8106",
            "fax_number": "321-674-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF TECHNOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA INSTITUTE OF TECHNOLOGY",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS ASSOCIATE",
        "authorized_official_telephone_number": "321-674-8106"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017501800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nonprofit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nonprofit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.