Prevent of Brevard, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1538369630 Issued in FL

Legal business name

PREVENT OF BREVARD, INC.

Practice address

2115 Babcock St
Melbourne, FL 32901

Phone

(321) 729-0779

NPI assigned

Nov 13, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

PREVENT OF BREVARD, INC.As reported in NPPES

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

Authorized official

Name

Ms. Rahila Bashir, LMHC

Title

Clinical Direcotr

Phone

(407) 207-7544

Specialties & licenses 1

Addresses

Other names 1

• CARE PROGRAM Other name

Tax ID family

Care Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Prevent of Brevard

  • Community/Behavioral Health Agency
  • Melbourne, FL
  • NPI 1538369632
  NPD tax ID
• Prevent of Brevard, Inc.

  • Case Management Agency
  • Melbourne, FL
  • NPI 1063440022
  NPD tax ID

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1932389483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 PINEAPPLE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357609",
            "telephone_number": "321-259-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-729-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENT OF BREVARD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENT OF BREVARD, INC.",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "RAHILA",
        "authorized_official_title_or_position": "CLINICAL DIRECOTR",
        "authorized_official_telephone_number": "407-207-7544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1538369630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE PROGRAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Prestige Cardiology Consultants LLC
• Julianne Prete, PA-C
• Kimberly A Pretlow, ARNP
• Prevent of Brevard
• Prevent of Brevard, Inc.
• Angel Prevost, MD
• Priest Chiropractic Inc
• Denis Primakov, M.D.
• Primomd, LLC
• Christina H. Principe, LMHC

• Community/Behavioral Health Agency in Melbourne, FL
• Providers in Melbourne, 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 Nov 13, 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.