Organization Active NPI

Healing Horizons Behavioral Health, LLC

Doing business as Healing Horizons

  • Psychiatry Physician
  • Panama City Beach, FL
National Provider Identifier
1720852965
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEALING HORIZONS BEHAVIORAL HEALTH, LLC
Doing business as
Healing Horizons
Practice address
651 Grand Panama Blvd Ste B1-103
Panama City Beach, FL 32407-3458
Phone
(850) 850-6019
Fax
(850) 850-6029
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Hina Smith, MDNPI 1316387731
Title
Owner/President
Phone
(850) 850-6019

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 Physician 2084P0800X NU Primary

Addresses

Primary practice location

651 Grand Panama Blvd Ste B1-103
Panama City Beach, FL 32407-3458

Mailing address

PO Box 27360
Panama City, FL 32411-7360
Phone (850) 850-6019

Other names 1

  • Healing Horizons Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829001795 FL Part B Supplier - Clinic/Group Practice 5698214096 Receives reassigned benefits from 3 practitioners
Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

651 Grand Panama Blvd
Ste 103
Panama City Beach, FL 32407
Phone (609) 216-6108

651 Grand Panama Blvd
Ste B1103
Panama City Beach, FL 32407
Phone (850) 850-6019

Practitioners & affiliated clinicians

Practitioners 3

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1720852965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27360",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324117360",
            "telephone_number": "850-850-6019",
            "fax_number": "850-850-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 GRAND PANAMA BLVD STE B1-103",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073458",
            "telephone_number": "850-850-6019",
            "fax_number": "850-850-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HORIZONS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-850-6019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Horizons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.