Pegasus Behavioral Health Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PEGASUS BEHAVIORAL HEALTH INC

Doing business as

Sky Health Center

Practice address

9935 Palomino Dr
Lake Worth, FL 33467-1014

Phone

(561) 370-3867

Fax

(561) 828-5902

NPI assigned

Jun 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Crocco

Title

Administration

Phone

(954) 696-1121

Specialties & licenses 2

Addresses

Other names 1

• Sky Health Center Doing business as

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932638541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671014",
            "telephone_number": "954-696-1121",
            "fax_number": "954-357-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671014",
            "telephone_number": "561-370-3867",
            "fax_number": "561-828-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CROCCO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "954-696-1121"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sky Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pedikidz of Florida Corp
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• Pedikidz of Palm Beach Therapy
• Jorge Enrique Pedraza, PHARMD
• Arlin Pedroso Batista
• Devin Marie Pemberton, DPT
• Yasmani Pena Nunez
• Gisselle Pena
• Juggi Adalberto Pena, PT,DPT
• Michael Anthony Pennell, DO

• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.