Organization Active NPI

SBM Medical Services, LLC.

Doing business as Behavioral Health Associates, Llc.

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1578918462
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SBM MEDICAL SERVICES, LLC.
Doing business as
Behavioral Health Associates, Llc.
Practice address
14225 Ludgate Hill LN
Orlando, FL 32828-7921
Phone
(407) 625-6209
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Juan G. Beloso
Title
Administrator
Phone
(407) 625-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

14225 Ludgate Hill LN
Orlando, FL 32828-7921

Mailing address

14225 Ludgate Hill LN
Orlando, FL 32828-7921
Phone (407) 625-6209

Other names 1

  • Behavioral Health Associates, Llc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1578918462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 LUDGATE HILL LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287921",
            "telephone_number": "407-625-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 LUDGATE HILL LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287921",
            "telephone_number": "407-625-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBM MEDICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "BELOSO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-625-6209"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Associates, Llc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.