Outpatient Health Villages Services

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

OUTPATIENT HEALTH VILLAGES SERVICES

Practice address

837 S Main Street
Wildwood, FL 34785

Phone

(561) 815-2649

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Anna Ackner

Title

Coo

Phone

(561) 815-2649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1699597393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR STE 7672",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S MAIN STREET",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "34785",
            "telephone_number": "561-815-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT HEALTH VILLAGES SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "ACKNER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-815-2649"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Psychologist in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Addiction (Substance Use Disorder) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.