Insight Behavioral Health Specialists

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11819 Issued in FL

Legal business name

INSIGHT BEHAVIORAL HEALTH SPECIALISTS

Practice address

618 N Main St
Kissimmee, FL 34744-5262

Phone

(407) 343-6006

Fax

(407) 343-8289

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hector L Rodriguez, AB

Title

Provider Liason

Phone

(407) 343-6006

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Insight Therapy Servicea Doing business as

Tax ID family

Insight Behavioral Health Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Insight Bheavioral Health Specialists

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1841731965
  NPD tax ID

Locations

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1992241012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42163",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347425262",
            "telephone_number": "407-343-6006",
            "fax_number": "407-343-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445262",
            "telephone_number": "407-343-6006",
            "fax_number": "407-343-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER LIASON",
        "authorized_official_telephone_number": "407-343-6006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AB"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017873000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Therapy Servicea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.