Active NPI
Scott Kern
- Community/Behavioral Health Agency
- Casselberry, FL
National Provider Identifier
1588055032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- IMH 12832
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.