Psychotherpay and Creativity Center of Boca Raton LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

SW5996 Issued in FL

Legal business name

PSYCHOTHERPAY AND CREATIVITY CENTER OF BOCA RATON LLC

Practice address

7025 Beracasa Way
Suite 102-a
Boca Raton, FL 33433-3443

Phone

(561) 376-9894

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Christina Oliveros, LCSWNPI 1164639811

Title

President

Phone

(561) 376-9894

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Christina Oliveros, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1164639811
  Authorized official Same address or phone

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1053794883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 ARBOR CLUB WAY",
            "address_2": "APARTMENT 14",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335688",
            "telephone_number": "561-376-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY",
            "address_2": "SUITE 102-A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333443",
            "telephone_number": "561-376-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERPAY AND CREATIVITY CENTER OF BOCA RATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "OLIVEROS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-376-9894",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW5996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.