Banyan Recovery Institute

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1706AD699801 Issued in FL

Legal business name

BANYAN RECOVERY INSTITUTE

Practice address

2699 Stirling Rd Ste B301
Ft Lauderdale, FL 33312-6543

Phone

(305) 725-2514

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By 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

Maria Cocchiarella

Title

Program Director

Phone

(305) 725-2514

Specialties & licenses 1

Addresses

Tax ID family

Banyan Recovery Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Banyan Recovery Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1780126755
  NPD tax ID

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1598164279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE B301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE B301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126543",
            "telephone_number": "305-725-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "COCCHIARELLA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "305-725-2514"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD699801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Andreea Banica, PA-C
• Sophia Bankole, IMH
• Sarah Banks
• Stephanie Lauren Banks
• Rose Bannon
• Banyan Recovery Institute
• Banyan Sober Living, Inc.
• Leeran Baraness, MD
• Olivia Baranski, MD
• Frank George Baratta, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.