Organization Active NPI

Florida DBT Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oviedo, FL
National Provider Identifier
1841861440
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FLORIDA DBT GROUP, INC.
Practice address
2572 W State Road 426 Ste 2024
Oviedo, FL 32765-8389
Phone
(321) 765-9089
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Kristal PollackNPI 1902122948
Title
Co-President
Phone
(321) 765-9089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2572 W State Road 426 Ste 2024
Oviedo, FL 32765-8389

Mailing address

2572 W State Road 426 Ste 2024
Oviedo, FL 32765-8389
Phone (321) 765-9089

National Provider Directory

National Provider Directory

Locations

2572 W State Road 426
Ste 2024
Oviedo, FL 32765
Phone (321) 765-9089

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1841861440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 2024",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "321-765-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426 STE 2024",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389",
            "telephone_number": "321-765-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DBT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "321-765-9089"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.