NPIMap

Organization Active NPI

Legacy Behavioral Health Center Inc

  • Case Management Agency
  • West Melbourne, FL
National Provider Identifier
1659024529
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LEGACY BEHAVIORAL HEALTH CENTER INC
Practice address
1924 Dairy Rd
West Melbourne, FL 32904-4046
Phone
(321) 256-8000
Fax
(321) 327-2747
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Ms. Alicia B. Pajares, LCSW
Title
Prsident
Phone
(561) 722-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1924 Dairy Rd
West Melbourne, FL 32904-4046

Mailing address

518 SW Prima Vista Blvd
Port Saint Lucie, FL 34983-8734
Phone (772) 873-8811

National Provider Directory

National Provider Directory
Tax ID family
Legacy Behavioral Health Center Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

518 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 344-2293

1924 Dairy Rd
West Melbourne, FL 32904
Phone (321) 256-8000

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1659024529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-873-8811",
            "fax_number": "772-873-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 DAIRY RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329044046",
            "telephone_number": "321-256-8000",
            "fax_number": "321-327-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY BEHAVIORAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "PAJARES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "561-722-7866",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.