NPIMap

Organization Active NPI

JBH Behavioral Health Systems LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Myers, FL
National Provider Identifier
1659545978
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JBH BEHAVIORAL HEALTH SYSTEMS LLC
Practice address
12550 New Brittany Blvd
Suite 200
Fort Myers, FL 33907-3655
Phone
(239) 936-1114
Fax
(239) 936-5968
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Ms. Tehjan S Martin, RNC
Title
Ceo
Phone
(239) 848-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12550 New Brittany Blvd
Suite 200
Fort Myers, FL 33907-3655

Mailing address

4113 W Riverside Dr
Fort Myers, FL 33901-8732
Phone (239) 936-1114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1659545978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 W RIVERSIDE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018732",
            "telephone_number": "239-936-1114",
            "fax_number": "239-936-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 NEW BRITTANY BLVD",
            "address_2": "SUITE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073655",
            "telephone_number": "239-936-1114",
            "fax_number": "239-936-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBH BEHAVIORAL HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TEHJAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-848-6515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.