Organization Active NPI

Town Center for Eating Disorders , LLC

  • Community/Behavioral Health Agency
  • Weston, FL
National Provider Identifier
1013450105
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TOWN CENTER FOR EATING DISORDERS , LLC
Practice address
1640 Town Center Cir Ste 204
Weston, FL 33326-3687
Phone
(954) 385-0055
Fax
(954) 385-3814
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Dr. Thania Valledor Quesada, MDNPI 1811971799
Title
Medical Director
Phone
(954) 385-0055

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1640 Town Center Cir Ste 204
Weston, FL 33326-3687

Mailing address

1640 Town Center Circle #204
Weston, FL 33326-5255
Phone (954) 385-0055

National Provider Directory

National Provider Directory

Locations

1640 Town Center Blvd
Ste 204
Weston, FL 33326
Phone (954) 349-1060

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1013450105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 TOWN CENTER CIRCLE #204",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333265255",
            "telephone_number": "954-385-0055",
            "fax_number": "954-385-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 TOWN CENTER CIR STE 204",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263687",
            "telephone_number": "954-385-0055",
            "fax_number": "954-385-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER FOR EATING DISORDERS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "THANIA",
        "authorized_official_middle_name": "VALLEDOR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-385-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.