MAJESTIC BEHAVIORAL SERVICES (NPI# 1245620327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245620327 |
Entity Type | Organization |
Organization Name | MAJESTIC BEHAVIORAL SERVICES |
Practice Address |
1057 Mason Ave Daytona Beach FL 32117-4611 |
Practice Telephone | 3862539391 |
Practice Fax Number | 3862539391 |
Mailing Telephone | 3862539391 |
Mailing Fax Number | 3862539391 |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |
Authorized Official Name | MS. LA TOYA SHARNETT GREGORY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3862539391 |
Authorized Official Credential | MBA, CCJAP, CAP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 0764AD478701 | FL | Agencies |
Street Address |
1057 MASON AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32117-4611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
Find all providers in zip 32117 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144711334 | Pediatric Aba 9 Inc | Community/Behavioral Health | 200 S Beach St Ste 204, Daytona Beach, FL 32114-4404 | 2018-05-23 |
1467805465 | Ocean Road LLC | Community/Behavioral Health | 3520 W International Speedway Blvd, Daytona Beach, FL 32124-1026 | 2016-07-14 |
1750771622 | Embridge Counseling Services | Community/Behavioral Health | 140 S Beach St Ste 310, Daytona Beach, FL 32114-4409 | 2015-01-30 |
1942536941 | Therapeutic Foundations | Community/Behavioral Health | 1181 Dal Maso Dr, Daytona Beach, FL 32117-4109 | 2009-10-26 |
1861638827 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Community/Behavioral Health | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2008-12-22 |
1780754747 | Coaching Behavioral Alternatives Inc | Community/Behavioral Health | 615 Riverview Blvd, Daytona Beach, FL 32118-3840 | 2006-11-08 |
1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
1649662198 | Halifax Behavioral Services | Community/Behavioral Health | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2015-02-20 |
1376974881 | The Helping Hand of Tomorrow Inc. | Community/Behavioral Health | 259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316 | 2013-12-09 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.