Organization Active NPI

Equip Behavioral Services

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1942651492
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L16000053079 Issued in FL
Legal business name
EQUIP BEHAVIORAL SERVICES
Practice address
14728 Royal Poinciana Dr
Orlando, FL 32828-7329
Phone
(407) 416-0810
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Mr. Oliver Karl Nofuente, M.S.NPI 1588945968
Title
Founder/Behavior Analyst
Phone
(407) 416-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L16000053079 FL Primary

Addresses

Primary practice location

14728 Royal Poinciana Dr
Orlando, FL 32828-7329

Mailing address

14728 Royal Poinciana Dr
Orlando, FL 32828-7329
Phone (407) 416-0810

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1942651492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14728 ROYAL POINCIANA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287329",
            "telephone_number": "407-416-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14728 ROYAL POINCIANA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287329",
            "telephone_number": "407-416-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIP BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "NOFUENTE",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "FOUNDER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "407-416-0810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "L16000053079",
            "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 Jun 27, 2016; 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.