NPIMap

Organization Active NPI

Northeast Family Services of Florida, Inc.

  • Community/Behavioral Health Agency
  • Maitland, FL
National Provider Identifier
1669080461
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHEAST FAMILY SERVICES OF FLORIDA, INC.
Practice address
1101 N Lake Destiny Rd
Maitland, FL 32751-7114
Phone
(689) 777-5065
Fax
(774) 628-9657
NPI assigned
Jul 17, 2020
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Nidhi TurnerNPI 1851610075
Title
Senior Vice President
Phone
(978) 530-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1101 N Lake Destiny Rd
Maitland, FL 32751-7114

Mailing address

354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (774) 206-1125

National Provider Directory

National Provider Directory
Tax ID family
Northeast Family Services of Florida Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1669080461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MERRIMACK ST STE 395",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431754",
            "telephone_number": "774-206-1125",
            "fax_number": "774-628-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N LAKE DESTINY RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517114",
            "telephone_number": "689-777-5065",
            "fax_number": "774-628-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FAMILY SERVICES OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "978-530-6605"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.