Organization Active NPI

Broward Behavioral Health Coalition, Inc.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1821333717
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROWARD BEHAVIORAL HEALTH COALITION, INC.
Practice address
1715 SE 4TH Ave
Fort Lauderdale, FL 33316-2515
Phone
(954) 622-8121
Fax
(954) 678-1625
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Mrs. Silvia Quintana
Title
Ceo
Phone
(954) 622-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1715 SE 4TH Ave
Fort Lauderdale, FL 33316-2515

Mailing address

1715 SE 4TH Ave
Fort Lauderdale, FL 33316-2515
Phone (954) 622-8121

National Provider Directory

National Provider Directory

Locations

1715 SE 4th Ave
Fort Lauderdale, FL 33316
Phone (954) 622-8121

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1821333717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162515",
            "telephone_number": "954-622-8121",
            "fax_number": "954-678-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162515",
            "telephone_number": "954-622-8121",
            "fax_number": "954-678-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD BEHAVIORAL HEALTH COALITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-622-8121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.