Lake Nona Behavioral Health Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LAKE NONA BEHAVIORAL HEALTH SERVICES

Practice address

10437 Moss Park Rd Ste B
Orlando, FL 32832-5812

Phone

(407) 808-5773

Fax

(321) 236-9134

NPI assigned

Nov 12, 2019

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sylvia Johnson, MDNPI 1891097663

Title

Owner

Phone

(407) 808-5773

Specialties & licenses 3

Addresses

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.

• Sylvia Budd Johnson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
  • NPI 1891097663

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1578108668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-808-5773",
            "fax_number": "321-236-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-808-5773",
            "fax_number": "321-236-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-808-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Buena Vista Pharmacy LLC
• Lake Conway Urgent Care LLC
• Lake Ellenor Medical Center LLC
• Lake Eola Dental, Inc.
• Lake Family Practice
• Lake Nona Dental Group PLC
• Lake Nona Emergency Physicians LLC
• Lake Nona Endodontics PA (Advanced Endodontics)
• Lake Nona Eye Care, LLC
• Lake Nona Inpatient Services LLC

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.