NPIMap

Organization Active NPI

Developmental Behavioral Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Casselberry, FL
National Provider Identifier
1851714620
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
ME100098 Issued in FL
Legal business name
DEVELOPMENTAL BEHAVIORAL PEDIATRICS
Practice address
950 S Winter Park Dr
Suite 302
Casselberry, FL 32707-5457
Phone
(407) 765-5437
Fax
(888) 972-7981
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Maria Sandra Cely, MDNPI 1801852967
Title
President/Owner
Phone
(407) 765-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X ME100098 FL Primary

Addresses

Primary practice location

950 S Winter Park Dr
Suite 302
Casselberry, FL 32707-5457

Mailing address

950 S Winter Park Dr
Suite 302
Casselberry, FL 32707-5457
Phone (407) 765-5437

National Provider Directory

National Provider Directory

Locations

950 S Winter Park Dr
Ste 302
Casselberry, FL 32707
Phone (407) 765-5437

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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1851714620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S WINTER PARK DR",
            "address_2": "SUITE 302",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075457",
            "telephone_number": "407-765-5437",
            "fax_number": "888-972-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S WINTER PARK DR",
            "address_2": "SUITE 302",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075457",
            "telephone_number": "407-765-5437",
            "fax_number": "888-972-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL BEHAVIORAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "CELY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-765-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "ME100098",
            "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 Jan 29, 2014; 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.