Active NPI
Northeast Family Services of Florida, Inc.
- Community/Behavioral Health Agency
- Maitland, FL
National Provider Identifier
1669080461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
- 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
- Nidhi Turner
- Title
- Senior Vice President
- Phone
- (978) 530-6605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Maitland, FL
- NPI 1275100547
-
- Behavior Analyst
- Maitland, FL
- NPI 1477126001
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1588321913
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.