American Health Care Community Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

IMH 12426 Issued in FL

Legal business name

AMERICAN HEALTH CARE COMMUNITY BEHAVIORAL SERVICES LLC

Practice address

3326 Robert Trent Jones Dr
Apt. 408
Orlando, FL 32835-2370

Phone

(407) 963-4335

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By 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

Roberta V Oliveira Matos, MS

Title

Therapist

Phone

(407) 963-4335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1952847345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 ROBERT TRENT JONES DR",
            "address_2": "APT. 408",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352370",
            "telephone_number": "407-963-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 ROBERT TRENT JONES DR",
            "address_2": "APT. 408",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352370",
            "telephone_number": "407-963-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH CARE COMMUNITY BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA MATOS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "407-963-4335",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 12426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.