Organization Active NPI

Scott Kern

  • Community/Behavioral Health Agency
  • Casselberry, FL
National Provider Identifier
1588055032
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMH 12832 Issued in FL
Legal business name
SCOTT KERN
Practice address
258 Wilshire Blvd
Casselberry, FL 32707-5355
Phone
(407) 810-7261
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Scott Kern
Title
Registered MHC Intern
Phone
(407) 810-7261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMH 12832 FL Primary

Addresses

Primary practice location

258 Wilshire Blvd
Casselberry, FL 32707-5355

Mailing address

PO Box 620451
Oviedo, FL 32762-0451
Phone (407) 810-7261

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1588055032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620451",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327620451",
            "telephone_number": "407-810-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075355",
            "telephone_number": "407-810-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT KERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REGISTERED MHC INTERN",
        "authorized_official_telephone_number": "407-810-7261"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 12832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.