Organization Active NPI

Center for Psychiatry and Behavioral Health

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Casselberry, FL
National Provider Identifier
1851531404
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
ARNP1758192 Issued in FL
Legal business name
CENTER FOR PSYCHIATRY AND BEHAVIORAL HEALTH
Practice address
250 Wilshire Blvd Ste 158
Casselberry, FL 32707-5380
Phone
(407) 261-5641
Fax
(407) 261-5641
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Naomi V Jones, ARNPNPI 1790827194
Title
Owner
Phone
(407) 617-4942

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
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0807X ARNP1758192 FL
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X ARNP1758192 FL Primary

Addresses

Primary practice location

250 Wilshire Blvd Ste 158
Casselberry, FL 32707-5380

Mailing address

250 Wilshire Blvd Ste 158
Casselberry, FL 32707-5380
Phone (407) 617-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090522000418 FL Part B Supplier - Clinic/Group Practice 2961551817 Receives reassigned benefits from 1 practitioner
Practice locations: Casselberry, FL

National Provider Directory

National Provider Directory

Locations

250 Wilshire Blvd
Ste 158
Casselberry, FL 32707
Phone (407) 261-5641

853 State Road 436
Ste 1061
Casselberry, FL 32707
Phone (407) 261-5641

1015 State Road 436
Ste 229
Casselberry, FL 32707
Phone (407) 261-5641

Practitioners & affiliated clinicians

Practitioners 3

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1851531404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WILSHIRE BLVD STE 158",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075380",
            "telephone_number": "407-617-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WILSHIRE BLVD STE 158",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075380",
            "telephone_number": "407-261-5641",
            "fax_number": "407-261-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHIATRY AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-617-4942",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "ARNP1758192",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1758192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.