MTM Health Services Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MTM HEALTH SERVICES INC

Practice address

1610 17TH CT SW
Vero Beach, FL 32962-6215

Phone

(772) 643-2604

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Tyeshia Ausby

Title

Ceo

Phone

(772) 643-2604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1700350675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 17TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329626215",
            "telephone_number": "772-643-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 17TH CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329626215",
            "telephone_number": "772-643-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "AUSBY",
        "authorized_official_first_name": "TYESHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-643-2604"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Disabilities Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.