NPIMap

Organization Active NPI

Suzanne Robertson

  • Community/Behavioral Health Agency
  • Auburndale, FL
National Provider Identifier
1881069151
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
RMHCI11654 Issued in FL
Legal business name
SUZANNE ROBERTSON
Practice address
119 Van Fleet CT
Auburndale, FL 33823-2019
Phone
(863) 370-5668
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Mrs. Suzanne Marie Robertson, M.A. RMHCINPI 1003399585
Title
Counselor
Phone
(863) 370-5668

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
Community/Behavioral Health Agency 251S00000X RMHCI11654 FL Primary

Addresses

Primary practice location

119 Van Fleet CT
Auburndale, FL 33823-2019

Mailing address

119 Van Fleet CT
Auburndale, FL 33823-2019
Phone (863) 370-5668

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1881069151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VAN FLEET CT",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232019",
            "telephone_number": "863-370-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VAN FLEET CT",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232019",
            "telephone_number": "863-370-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE ROBERTSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "863-370-5668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. RMHCI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "RMHCI11654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.