Organization Active NPI

Diane Halperin PA

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1003379603
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIANE HALPERIN PA
Practice address
8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903
Phone
(561) 866-5450
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Mrs. Diane Tracy Halperin, LCSWNPI 1871602425
Title
President
Phone
(561) 866-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903

Mailing address

8198 S Jog Rd Ste 201
Boynton Beach, FL 33472-6903
Phone (561) 866-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191003001706 FL Part B Supplier - Clinic/Group Practice 3577894674 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

8198 S Jog Rd
Ste 201
Boynton Beach, FL 33472
Phone (561) 715-5121

8198 S Jog Rd
Ste 200
Boynton Beach, FL 33472
Phone (561) 810-6631

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1003379603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334726903",
            "telephone_number": "561-866-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 S JOG RD STE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334726903",
            "telephone_number": "561-866-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HALPERIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "HALPERIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-866-5450",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.