Organization Active NPI

Premier Behavioral Solutions of Florida

  • Psychiatric Residential Treatment Facility
  • Bradenton, FL
National Provider Identifier
1891915310
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
PH 17449 Issued in FL
Legal business name
PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA
Practice address
1324 37TH Ave E
Bradenton, FL 34208-4555
Phone
(941) 746-1388
Fax
(941) 782-1544
NPI assigned
Apr 26, 2007
Last updated
Sep 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Mrs. Tanicha Lee Bottley
Title
Business Coordinator
Phone
(941) 746-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X PH 17449 FL Primary

Addresses

Primary practice location

1324 37TH Ave E
Bradenton, FL 34208-4555

Mailing address

1324 37TH Ave E
Bradenton, FL 34208-4555
Phone (941) 746-1388

Other names 1

  • Ramsay Youth Svcs. of Florida, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Manatee Palms Group Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1891915310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084555",
            "telephone_number": "941-746-1388",
            "fax_number": "941-782-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 37TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084555",
            "telephone_number": "941-746-1388",
            "fax_number": "941-782-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "BOTTLEY",
        "authorized_official_first_name": "TANICHA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "941-746-1388",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "PH 17449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramsay Youth Svcs. of Florida, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.