Organization Active NPI

Blue Bird Books

  • Marriage & Family Therapist
  • Deland, FL
National Provider Identifier
1992410948
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLUE BIRD BOOKS
Practice address
125 E Indiana Ave Ste E
Deland, FL 32724-4341
Phone
(386) 279-7111
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Pamela Bowman
Title
Credentialing Manager
Phone
(386) 216-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

125 E Indiana Ave Ste E
Deland, FL 32724-4341

Mailing address

125 E Indiana Ave Ste E
Deland, FL 32724-4341
Phone (386) 279-7111

National Provider Directory

National Provider Directory

Locations

125 E Indiana Ave
Ste E
Deland, FL 32724
Phone (386) 279-7111

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": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1992410948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E INDIANA AVE STE E",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244341",
            "telephone_number": "386-279-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E INDIANA AVE STE E",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244341",
            "telephone_number": "386-279-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BIRD BOOKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "386-216-1085"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.