Florida Center for Brain and Mind, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY8325 Issued in FL

Legal business name

FLORIDA CENTER FOR BRAIN AND MIND, LLC

Practice address

134 N Ridgewood Dr Ste 15
Sebring, FL 33870-7200

Phone

(863) 658-0151

Fax

(772) 202-6042

NPI assigned

Apr 29, 2013

Last updated

Apr 30, 2013By 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. Judith Horvath, PH.D.NPI 1861421091

Title

Manager

Phone

(863) 658-0151

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Judith Horvath, PH.D.

  • Clinical Neuropsychologist
  • Stuart, FL
  • NPI 1861421091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1609211044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N RIDGEWOOD DR STE 15",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707200",
            "telephone_number": "863-658-0151",
            "fax_number": "772-202-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N RIDGEWOOD DR STE 15",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707200",
            "telephone_number": "863-658-0151",
            "fax_number": "772-202-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CENTER FOR BRAIN AND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-658-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8325",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Joy Fleck, M.D.
• Greisys Fleitas
• Florida Access Care Inc
• Florida Cancer Physicians Network LLC (Sebring Cancer Center)
• Florida Cancer Specialists & Research Institute, LLC
• Florida Department of Health (Highlands County Health Department)
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services, PA
• Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)

• Clinical Neuropsychologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.