PARADISE BEHAVIORAL HEALTH, LLC – NPI #1215462288
Clinic/Center

PARADISE BEHAVIORAL HEALTH, LLC is an AHC clinic located in PUNTA GORDA, FL. NPPES has assigned the NPI number 1215462288 to PARADISE BEHAVIORAL HEALTH, LLC on April 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on Jan 25, 2024. 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 PARADISE BEHAVIORAL HEALTH, LLC below.

NPI Profile for
PARADISE BEHAVIORAL HEALTH, LLC

NPI Number
1215462288
Enumeration Date

(more than 9 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
PARADISE BEHAVIORAL HEALTH, LLC
Primary location
25097 OLYMPIA AVE STE 201
PUNTA GORDA, FL 33950-3914
Phone: (941) 347-8341 Fax: (941) 347-7702
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIZYL DAMAYO
OWNER
Phone: (941) 347-8341
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PARADISE BEHAVIORAL HEALTH, 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
medicaidFL103283300
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
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
FL ME114111

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
advancedmd.com
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
201 W MARION AVE UNIT 1209,
PUNTA GORDA, FL 77025-1669