Active NPI
Neurotherapeutic Addictions Associates Inc
- Addiction Medicine (Psychiatry & Neurology) Physician
- Orlando, FL
National Provider Identifier
1649749565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- NEUROTHERAPEUTIC ADDICTIONS ASSOCIATES INC
- Practice address
- 1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378 - Phone
- (407) 667-0881
- Fax
- (407) 629-2603
- NPI assigned
- Nov 20, 2018
- 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
- Paul Visser
- Title
- Owner
- Phone
- (407) 667-0881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary |
Addresses
Primary practice location
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Mailing address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone (407) 667-0881
Other names 1
- Professional Treatment Center (PTC)
National Provider Directory
National Provider DirectoryLocations
7151 University Blvd
Unit 120
Winter Park, FL 32792
Phone (407) 667-0881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542672000000",
"number": "1649749565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PEMBROOK DR STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106378",
"telephone_number": "407-667-0881",
"fax_number": "407-629-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PEMBROOK DR STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106378",
"telephone_number": "407-667-0881",
"fax_number": "407-629-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROTHERAPEUTIC ADDICTIONS ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A",
"authorized_official_last_name": "VISSER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-667-0881"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Treatment Center (PTC)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.