Organization Active NPI

Neurotherapeutic Addictions Associates Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Orlando, FL
National Provider Identifier
1649749565
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
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

Updated by the provider on Nov 20, 2018

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)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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) Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.