Anton Philip Pustaver, M.ED./ED.S, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

411 Bayfront Dr
Boynton Beach, FL 33435-8643

Phone

(561) 301-5787

Fax

(352) 374-5608

NPI assigned

Mar 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1043519366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BAYFRONT DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358643",
            "telephone_number": "561-301-5787",
            "fax_number": "352-374-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BAYFRONT DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358643",
            "telephone_number": "561-301-5787",
            "fax_number": "352-374-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326084006",
            "country_code": "US",
            "telephone_number": "352-374-5600 x8277",
            "fax_number": "352-374-5608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUSTAVER",
        "first_name": "ANTON",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "M.ED./ED.S, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.