Braved Behavioral Health Institute Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BRAVED BEHAVIORAL HEALTH INSTITUTE INC

Practice address

1135 Pasadena Ave S
111
South Pasadena, FL 33707-2887

Phone

(727) 560-0607

Fax

(877) 287-1083

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Jonathan Bragg

Title

Administrator

Phone

(727) 560-0607

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1932584489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 PASADENA AVE S",
            "address_2": "111",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072887",
            "telephone_number": "727-560-0607",
            "fax_number": "877-287-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 PASADENA AVE S",
            "address_2": "111",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072887",
            "telephone_number": "727-560-0607",
            "fax_number": "877-287-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVED BEHAVIORAL HEALTH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-560-0607"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Psychiatry",
            "affiliation": "N",
            "endpointDescription": "Psychiatry",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1135 Pasadena Ave S",
            "address_2": "111",
            "city": "South Pasadena",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337072887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.