NPIMap

Organization Active NPI

Birkmire Behavioral Healthcare, Inc

  • Prescribing (Medical) Psychologist
  • Oviedo, FL
National Provider Identifier
1689979874
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
ME75680 Issued in FL
Legal business name
BIRKMIRE BEHAVIORAL HEALTHCARE, INC
Practice address
650 S Central Ave
Suite 4000
Oviedo, FL 32765-5900
Phone
(407) 977-7943
Fax
(407) 977-7944
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Ms. Jessy Lagomarsino
Title
Insurance / Billing Supervisor
Phone
(407) 977-7943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X ME75680 FL Primary

Addresses

Primary practice location

650 S Central Ave
Suite 4000
Oviedo, FL 32765-5900

Mailing address

650 S Central Ave
Suite 4000
Oviedo, FL 32765-5900
Phone (407) 977-7943

National Provider Directory

National Provider Directory
Tax ID family
Birkmire Behavioral Healthcare2 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.

Locations

650 S Central Ave
Ste 4000
Oviedo, FL 32765
Phone (407) 977-7943

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1689979874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S CENTRAL AVE",
            "address_2": "SUITE 4000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655900",
            "telephone_number": "407-977-7943",
            "fax_number": "407-977-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S CENTRAL AVE",
            "address_2": "SUITE 4000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655900",
            "telephone_number": "407-977-7943",
            "fax_number": "407-977-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRKMIRE BEHAVIORAL HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "LAGOMARSINO",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "INSURANCE / BILLING SUPERVISOR",
        "authorized_official_telephone_number": "407-977-7943",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": "ME75680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.