Omega Alpha Nu Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OMEGA ALPHA NU MINISTRIES

Practice address

101 W Cypress St
Suite E, F & K
Kissimmee, FL 34741-3319

Phone

(321) 236-2006

Fax

(321) 250-7822

NPI assigned

May 4, 2012

Organization subpart

Yes

Parent organization

OMEGA ALPHA NU MINISTRIESAs reported in NPPES

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

Authorized official

Name

Mrs. Lynda A Gonsalves-Barnes, PHD

Title

President

Phone

(321) 236-2006

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• OAN Mental Health Center Doing business as

Part of

Omega Alpha Nu Ministries

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony David Barnes II

  • Case Manager/Care Coordinator
  • Kissimmee, FL
  • NPI 1942559992
  NPD (past)
• Lynda A Gonsalves, PHD

  • Psychologist
  • Kissimmee, FL
  • NPI 1093075954
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1912266347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451236",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347451236",
            "telephone_number": "321-236-2006",
            "fax_number": "321-250-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CYPRESS ST",
            "address_2": "SUITE E, F & K",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413319",
            "telephone_number": "321-236-2006",
            "fax_number": "321-250-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA ALPHA NU MINISTRIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMEGA ALPHA NU MINISTRIES",
        "enumeration_date": "2012-05-04",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "GONSALVES-BARNES",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-236-2006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004861300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAN Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olayinka Abimbola Olubowale-Oshodi, P.T
• Olufunmilola Abiodun Olubukola, MD
• Olympus Home Care Inc.
• Juan Javier Omana, M.D.
• Omar Ata, D.D.S., PA.
• Candice Omega
• Omni Rehab Services LLLP
• Funmilola Rhoda Omo-Olaoye
• Gbemisola Omolara
• One Hope United

• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.