Organization Active NPI

Friends of Accord, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
National Provider Identifier
1740302181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FRIENDS OF ACCORD, INC
Practice address
150 S Palmetto Ave
Suite 103
Daytona Beach, FL 32114-4385
Phone
(386) 675-4694
Fax
(888) 217-4124
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Gary Miller
Title
President
Phone
(407) 721-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

150 S Palmetto Ave
Suite 103
Daytona Beach, FL 32114-4385

Mailing address

150 S Palmetto Ave
Suite 103
Daytona Beach, FL 32114-4385
Phone (386) 675-4694

Other names 1

  • coastal mental health center Doing business as

National Provider Directory

National Provider Directory

Locations

150 S Palmetto Ave
Ste 103
Daytona Beach, FL 32114
Phone (386) 675-4694

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740302181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PALMETTO AVE",
            "address_2": "SUITE 103",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144385",
            "telephone_number": "386-675-4694",
            "fax_number": "888-217-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PALMETTO AVE",
            "address_2": "SUITE 103",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144385",
            "telephone_number": "386-675-4694",
            "fax_number": "888-217-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF ACCORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-721-9210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coastal mental health center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.