NPIMap

Organization Active NPI

Ocoee Behavioral Health LLPC

  • Psychiatry Physician
  • Cleveland, TN
National Provider Identifier
1699350652
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OCOEE BEHAVIORAL HEALTH LLPC
Practice address
2033 N Ocoee St
Cleveland, TN 37311-3918
Phone
(423) 458-1020
Fax
(833) 638-0070
NPI assigned
Mar 11, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dr. Stephan M Becker, MDNPI 1063678795
Title
President
Phone
(423) 458-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2033 N Ocoee St
Cleveland, TN 37311-3918

Mailing address

2033 N Ocoee St
Cleveland, TN 37311-3918
Phone (423) 458-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602000830 TN Part B Supplier - Clinic/Group Practice 9133528706 Receives reassigned benefits from 3 practitioners
Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory

Locations

2033 N Ocoee St
Cleveland, TN 37311
Phone (423) 458-1020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23391/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1699350652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113918",
            "telephone_number": "423-458-1020",
            "fax_number": "833-638-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113918",
            "telephone_number": "423-458-1020",
            "fax_number": "833-638-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE BEHAVIORAL HEALTH LLPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-458-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.