Organization Active NPI

Behavioral Health Sciences of West Florida LLC

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1881999084
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC
Practice address
5741 Bee Ridge Rd
Suite 320
Sarasota, FL 34233-5064
Phone
(941) 320-5026
Fax
(866) 790-3570
NPI assigned
Jan 19, 2011
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
William Tedrick Johnson
Title
Group Vice President/Ao
Phone
(615) 372-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5741 Bee Ridge Rd
Suite 320
Sarasota, FL 34233-5064

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 372-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000520 FL Part B Supplier - Clinic/Group Practice 3173700937 Receives reassigned benefits from 4 practitioners
Practice locations: Brandon, FL; Trinity, FL; Tampa, FL; New Port Richey, FL; Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Science of West Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1427 Oakfield Dr
Brandon, FL 33511
Phone (813) 684-5048

224 S Moon Ave
Brandon, FL 33511
Phone (813) 685-0500

5272 Station Way
Ste A4
Sarasota, FL 34233
Phone (941) 923-0164

5741 Bee Ridge Rd
Ste 320
Sarasota, FL 34233
Phone (941) 320-5026

Practitioners & affiliated clinicians

Practitioners 6

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": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1881999084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD",
            "address_2": "SUITE 320",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335064",
            "telephone_number": "941-320-5026",
            "fax_number": "866-790-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.