Organization Active NPI

Foundations Health Centers LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Palm Bay, FL
National Provider Identifier
1851258776
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
FOUNDATIONS HEALTH CENTERS LLC
Practice address
1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
Phone
(321) 479-4083
Fax
(321) 294-5036
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Christal Dickun, MDNPI 1487815601
Title
Owner, Ceo
Phone
(860) 204-1200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559

Mailing address

1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
Phone (321) 479-4083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1851258776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053559",
            "telephone_number": "321-479-4083",
            "fax_number": "321-294-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053559",
            "telephone_number": "321-479-4083",
            "fax_number": "321-294-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS HEALTH CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "DICKUN",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "860-204-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.