Victory BH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VICTORY BH

Practice address

1530 Kingsley Ave
Orange Park, FL 32073-4511

Phone

(908) 451-1566

Fax

(716) 237-4199

NPI assigned

Nov 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Snehal Shah

Title

Owner

Phone

(908) 451-1566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1609584358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 KINGSLEY AVE UNIT 458",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320677719",
            "telephone_number": "908-451-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734511",
            "telephone_number": "908-451-1566",
            "fax_number": "716-237-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-451-1566",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Vey, RRT
• Raymond Vickerman, PT
• Jessica H Vickers, MD
• Paige Renee Vickers, PHARMD
• Kirsten Victorian
• Carlos R Villa, O.D.
• Hazel Villamor, PT
• Amelia Villanueva
• Julian Vincent
• Marlena M Vinson

• Psychiatry Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.