PRIME BEHAVIORAL HEALTH AND WELLNESS LLC — NPI 1093464364 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in OAKLAND, FL)

CMS-1500 Box 24J / 33a • NPI

1093464364

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084P0805X (CMS 86)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

1200 CIVITAS WAY, OAKLAND, FL, 34787-3492

✓ 9-Digit EDI 837 ZIP+4 (34787-3492)

Practice Phone & Referral Fax

(818) 970-6703

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093464364 (PRIME BEHAVIORAL HEALTH AND WELLNESS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093464364` (NPI-2 Organization / Facility)
Provider / Legal Name	PRIME BEHAVIORAL HEALTH AND WELLNESS LLC
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `2084P0805X` (N/A)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	1200 CIVITAS WAY, OAKLAND, FL, 34787-3492
Practice Telephone / Fax	Tel: (818) 970-6703
Administrative Mailing Address	1200 CIVITAS WAY, OAKLAND, FL, 34787-3492
Enumeration & Last Sync	Enumerated: 2022-03-22 \| CMS Record Updated: 2024-05-01
Authorized Official	EDWARD SINGH (Provider)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1200 CIVITAS WAY, OAKLAND, FL, 34787-3492

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Plain-English Taxonomy & CMS Crosswalk (2084P0805X)

What Does Taxonomy Code 2084P0805X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0805X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PRIME BEHAVIORAL HEALTH AND WELLNESS LLC)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2084P0805X` — Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PRIME BEHAVIORAL HEALTH AND WELLNESS LLC (NPI #1093464364)