Nyoka Place, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH9503 Issued in FL

Legal business name

NYOKA PLACE, INC.

Practice address

108 Forest Ave
Altamonte Springs, FL 32701-3612

Phone

(321) 230-4118

Fax

(407) 384-7625

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Nyoka Malcolm

Title

Executive Director

Phone

(321) 230-4118

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Nyoka Place Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nyoka Place, Inc.

  • Community/Behavioral Health Agency
  • Altamonte Springs, FL
  • NPI 1912146044
  NPD tax ID

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1679866925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 WOODS EDGE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174734",
            "telephone_number": "321-230-4118",
            "fax_number": "407-384-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FOREST AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013612",
            "telephone_number": "321-230-4118",
            "fax_number": "407-384-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYOKA PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "NYOKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-230-4118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002904800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yollie Novembre
• Priscilla Ntiamoah
• Pilar Nunez-Ferreira
• Maria Nunez
• Yair R Nunez, APRN
• Nyoka Place, Inc.
• Richard O'Bryan III
• Kelly Ann O'Connor, ARNP
• Kacey Marie O'Neill
• Tawanda Oates

• Community/Behavioral Health Agency in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.