Pendulum Detox, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PENDULUM DETOX, LLC

Practice address

2901 Broadway
West Palm Beach, FL 33407-5131

Phone

(561) 706-7224

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Alexis Storonkin

Title

Ceo

Phone

(917) 971-1727

Specialties & licenses 2

Addresses

Other names 1

• 1 Solution Detox Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1003456294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075131",
            "telephone_number": "561-706-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDULUM DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "STORONKIN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-971-1727"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 Solution Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hector Pena-Gonzalez, MS
• Abdias Pena
• Amarilis Pena
• Lazaro Pena
• Yanela Penalver Aviles, RBT
• Shantel Penn
• Amanda Lynn Penton
• Layda Penton, LMHC
• Pentzke Medical Center Inc
• Isidro Guillermo Pentzke, MD

• Substance Abuse Rehabilitation Facility in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.