SYSTEMIC INNOVATIONS, LLC – NPI #1568872372
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

SYSTEMIC INNOVATIONS, LLC is an agency located in MAITLAND, FL. NPPES has assigned the NPI number 1568872372 to SYSTEMIC INNOVATIONS, LLC on May 01, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is JULIE EBERWEIN PHD, LMHC. The primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

The NPI profile was previously updated about 12 years ago on Jun 04, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SYSTEMIC INNOVATIONS, LLC below.

NPI Profile for
SYSTEMIC INNOVATIONS, LLC

NPI Number
1568872372
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SYSTEMIC INNOVATIONS, LLC
Former Legal Business Name: JULIE EBERWEIN PHD, LMHC
Primary location
406 LAKE HOWELL RD
MAITLAND, FL 32751-5907
Phone: (407) 691-3960 Fax: (407) 691-3961
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE EBERWEIN
OWNER
Phone: (407) 691-3960
Updated
Identifiers

Identifiers for SYSTEMIC INNOVATIONS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL001116400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)
FL MH9903

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.