Organization Active NPI

Atlas Global Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, FL
National Provider Identifier
1952012791
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ATLAS GLOBAL HEALTHCARE
Practice address
4624 Hollywood Blvd Ste 204
Hollywood, FL 33021-6526
Phone
(954) 367-5740
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Derek Corley
Title
Ceo
Phone
(201) 657-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4624 Hollywood Blvd Ste 204
Hollywood, FL 33021-6526

Mailing address

4624 Hollywood Blvd Ste 204
Hollywood, FL 33021-6526
Phone (954) 367-5740

National Provider Directory

National Provider Directory

Locations

4624 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (954) 367-5740

6100 Hollywood Blvd
Ste 410
Pembroke Pines, FL 33024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1952012791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 204",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "954-367-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 HOLLYWOOD BLVD STE 204",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216526",
            "telephone_number": "954-367-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS GLOBAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-657-2364"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.