Active NPI
Spectrum Behavioral Services, Inc
- Developmentally Disabled Services Day Training Agency
- Boca Raton, FL
National Provider Identifier
1720448459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SPECTRUM BEHAVIORAL SERVICES, INC
- Practice address
- 4700 NW 2ND Avenue
Suite 402
Boca Raton, FL 33431-4160 - Phone
- (561) 491-2335
- Fax
- (561) 989-0698
- NPI assigned
- Feb 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa B Bensmihen, MBA
- Title
- Ceo
- Phone
- (561) 491-2335
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | FL | Primary | |
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
4700 NW 2ND Avenue
Suite 402
Boca Raton, FL 33431-4160
Mailing address
4700 NW 2ND Avenue
Suite 402
Boca Raton, FL 33431-4160
Phone (561) 491-2335
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473292800000",
"number": "1720448459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 NW 2ND AVENUE",
"address_2": "SUITE 402",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314160",
"telephone_number": "561-491-2335",
"fax_number": "561-989-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 NW 2ND AVENUE",
"address_2": "SUITE 402",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314160",
"telephone_number": "561-491-2335",
"fax_number": "561-989-0698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM BEHAVIORAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-23",
"last_updated": "2016-09-08",
"status": "A",
"authorized_official_last_name": "BENSMIHEN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-491-2335",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.