Poinciana Behavioral Health Clinic, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

POINCIANA BEHAVIORAL HEALTH CLINIC, INC.

Practice address

2068 E Osceola Pkwy
Kissimmee, FL 34743-8602

Phone

(407) 483-3939

Fax

(407) 449-4321

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Euladia Mercado, BSN/RN

Title

Owner

Phone

(407) 572-8862

Specialties & licenses 2

Addresses

Other names 1

• Poinciana Behavioral Health Clinic, Inc. Former legal business name

Locations

Practitioners 1

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

• Ivan A Rivera Soler, MD

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1245433861
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1780286393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584792",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "407-483-3939",
            "fax_number": "407-449-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 E OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438602",
            "telephone_number": "407-483-3939",
            "fax_number": "407-449-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA BEHAVIORAL HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "EULADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-572-8862",
        "authorized_official_credential": "BSN/RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poinciana Behavioral Health Clinic, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaimie Plumey, FNP BC
• Katy Plutin
• PM Pediatrics PA
• Jill N Poffenbaugh, BSW
• Roberto Arturo Pohlenz-McBeath
• Poinciana Chiropractic & Injury Center, PLLC
• Poinciana Healthcare Inc
• Poinciana Med Equipment LLC
• Poinciana Medical Center, Inc.
• Poinciana Medical Clinic

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.