Scott D Bush LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH10961 Issued in FL

Legal business name

SCOTT D BUSH LLC

Practice address

21001 Reindeer Rd
Christmas, FL 32709-9122

Phone

(407) 230-4949

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Scott D Bush, PHD, LMHC

Title

Ownr

Phone

(407) 230-4949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1740649490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 REINDEER RD",
            "city": "CHRISTMAS",
            "state": "FL",
            "postal_code": "327099122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 REINDEER RD",
            "city": "CHRISTMAS",
            "state": "FL",
            "postal_code": "327099122",
            "telephone_number": "407-230-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D BUSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNR",
        "authorized_official_telephone_number": "407-230-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH10961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Christmas, FL
• Providers in Christmas, FL by specialty
• Community/Behavioral Health Agency in Florida

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

Verify at the official NPI Registry.