Aspen Behavioral Health

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ASPEN BEHAVIORAL HEALTH

Practice address

900 Osceola Drive
Suite 200,300,108
West Palm Beach, FL 33409-5075

Phone

(833) 737-0963

Fax

(561) 532-0050

NPI assigned

Aug 3, 2020

Last updated

Jan 15, 2025By 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

Bianca S Gerena

Title

Credentialing and Ur

Phone

(561) 502-4720

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Aspen Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aspen Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Wellington, FL
  • NPI 1467236075
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Aspen Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Wellington, FL
  • NPI 1467236075
  NPPES parent name

Practitioners 2

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.

• Michael Mayhall

  • Mental Health Counselor
  • Boynton Beach, FL
  • NPI 1114316056
  Medicare reassignment NPD
• Jose Rafael Toledo, MD

  • Neurology Physician
  • Stuart, FL
  • NPI 1215049200
  Medicare reassignment NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1750991923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DR STE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095000",
            "telephone_number": "833-772-1295",
            "fax_number": "561-532-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OSCEOLA DRIVE",
            "address_2": "SUITE 200,300,108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095075",
            "telephone_number": "833-737-0963",
            "fax_number": "561-532-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GERENA",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING AND UR",
        "authorized_official_telephone_number": "561-502-4720"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
            "identifier": "LIC-1047579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
            "identifier": "LIC-1047580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
            "identifier": "LIC-1047581",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "623212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asidas Healthcare and Staffing
• Mihran Aris Asinmaz, D.M.D.
• Jessica Askinazi, PHARM D
• Asl-Den LLC
• Haresh Naraindas Asnani, M.D.
• Aspm LLC
• Isabella Asseraf
• Aviram Assidon, MD
• Lenora Assing, PTA
• Assistance Required Care Services Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.