NPIMap

Organization Active NPI

Palm Beach Drug Testing, LLC.

Doing business as Relax Medical Center

  • Developmental Disabilities Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1063045169
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PALM BEACH DRUG TESTING, LLC.
Doing business as
Relax Medical Center
Relax Mental Health
Practice address
2809 Poinsettia Ave Ste 3-5
West Palm Beach, FL 33407-5426
Phone
(561) 469-9934
NPI assigned
Feb 17, 2020
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Keren Marie Roesser, LMHC LPC CAP CRRANPI 1164773032
Title
Ceo
Phone
(561) 398-8336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

2809 Poinsettia Ave Ste 3-5
West Palm Beach, FL 33407-5426

Mailing address

2809 Poinsettia Ave Ste 3-5
West Palm Beach, FL 33407-5426
Phone (561) 469-9934

Other names 2

  • Relax Medical Center Doing business as
  • Relax Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Drug Testing LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1063045169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE STE 3-5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE STE 3-5",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH DRUG TESTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "ROESSER",
        "authorized_official_first_name": "KEREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-398-8336",
        "authorized_official_credential": "LMHC LPC CAP CRRA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relax Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

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