The Peyton Network, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE PEYTON NETWORK, LLC

Practice address

6154 Hedgesparrow LN
Sanford, FL 32771-6495

Phone

(407) 902-7788

Fax

(877) 546-7604

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dedrick D Peyton, LMHC

Title

Owner

Phone

(407) 902-7788

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1730552605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 HEDGESPARROW LANE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716495",
            "telephone_number": "407-902-7788",
            "fax_number": "877-546-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 HEDGESPARROW LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716495",
            "telephone_number": "407-902-7788",
            "fax_number": "877-546-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEYTON NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "DEDRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-902-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015643200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.