DMV Behavioral Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DMV BEHAVIORAL SERVICES, LLC

Practice address

662 Youngstown Pkwy
#202
Altamonte Springs, FL 32714-4529

Phone

(407) 780-0500

NPI assigned

Sep 19, 2015

Last updated

Sep 19, 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

Andrea BradleyNPI 1194125948

Title

President

Phone

(407) 780-0500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Andrea Bradley

  • Behavior Technician
  • Altamonte Springs, FL
  • NPI 1194125948
  NPD (past) Authorized official

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442620800000",
    "number": "1740659739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 YOUNGSTOWN PKWY",
            "address_2": "#202",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144529",
            "telephone_number": "407-780-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 YOUNGSTOWN PKWY",
            "address_2": "#202",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144529",
            "telephone_number": "407-780-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMV BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-780-0500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.