NPIMap

Organization Active NPI

Panamerican Behavioral Health Services of Florida LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1932511938
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
HCC10102 Issued in FL
Legal business name
PANAMERICAN BEHAVIORAL HEALTH SERVICES OF FLORIDA LLC
Practice address
6000 S Rio Grande Ave
Suite 102
Orlando, FL 32809-4650
Phone
(407) 982-7718
Fax
(407) 704-5953
NPI assigned
May 24, 2014
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Brendan Ramirez
Title
Executive Director
Phone
(321) 663-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X HCC10102 FL Primary

Addresses

Primary practice location

6000 S Rio Grande Ave
Suite 102
Orlando, FL 32809-4650

Mailing address

6000 S Rio Grande Ave
Suite 102
Orlando, FL 32809-4650
Phone (407) 982-7718

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910000279 FL Part B Supplier - Clinic/Group Practice 5799225439 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Pan American Behavioral Health Services of Florida2 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.

Locations

6000 S Rio Grande Ave
Ste 102
Orlando, FL 32809
Phone (321) 663-9815

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": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1932511938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650",
            "telephone_number": "407-982-7718",
            "fax_number": "407-704-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650",
            "telephone_number": "407-982-7718",
            "fax_number": "407-704-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMERICAN BEHAVIORAL HEALTH SERVICES OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-663-9815"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "HCC10102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.