Banyan Recovery Institute

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1706AD699801 Issued in FL

Legal business name

BANYAN RECOVERY INSTITUTE

Practice address

2699 Stirling Rd
Suite B-301
Ft Lauderdale, FL 33312-6517

Phone

(954) 874-7923

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Claribel Delossantos

Title

Claims Supervisor

Phone

(954) 874-7923

Specialties & licenses 1

Addresses

Tax ID family

Banyan Recovery Institute2 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.

• Banyan Recovery Institute

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ft Lauderdale, FL
  • NPI 1598164279
  NPD tax ID

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1780126755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE B-301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-874-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE B-301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-874-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "DELOSSANTOS",
        "authorized_official_first_name": "CLARIBEL",
        "authorized_official_title_or_position": "CLAIMS SUPERVISOR",
        "authorized_official_telephone_number": "954-874-7923",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD699801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Bankole, IMH
• Sarah Banks
• Stephanie Lauren Banks
• Rose Bannon
• Banyan Recovery Institute
• Banyan Sober Living, Inc.
• Olivia Baranski, MD
• Frank George Baratta, M.D.
• Barbara Ann Scherer MD PA
• Barbara Ann Scherer, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Ft Lauderdale, FL
• Providers in Ft Lauderdale, 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 Nov 8, 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.