Organization Active NPI

Atlas Behavioral Health, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Coast, FL
National Provider Identifier
1740472174
Registry record updated Nov 18, 2013
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
ATLAS BEHAVIORAL HEALTH, PA
Practice address
50 Leanni Way Unit B3
Palm Coast, FL 32137-4754
Phone
(386) 446-5494
Fax
(386) 447-1357
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mrs. Kathleen Vacchelli, MS,ARNP
Title
Owner
Phone
(386) 446-5494

Specialties & licenses 1

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

Addresses

Primary practice location

50 Leanni Way Unit B3
Palm Coast, FL 32137-4754

Mailing address

50 Leanni Way Unit B3
Palm Coast, FL 32137-4754
Phone (386) 446-5494

National Provider Directory

National Provider Directory

Locations

21 Old Kings Rd N
Ste 208
Palm Coast, FL 32137
Phone (386) 446-5494

5 Boulder Rock Dr
Ste E
Palm Coast, FL 32137
Phone (386) 446-5494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1740472174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374754",
            "telephone_number": "386-446-5494",
            "fax_number": "386-447-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEANNI WAY UNIT B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374754",
            "telephone_number": "386-446-5494",
            "fax_number": "386-447-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS BEHAVIORAL HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VACCHELLI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-446-5494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,ARNP"
    },
    "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": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.