Organization Active NPI

Dennis Rockwell Inc

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1063692275
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW0004553 Issued in FL
Legal business name
DENNIS ROCKWELL INC
Practice address
Fontana Plaza, 9045 Lafontana Blvd
Suite 222
Boca Raton, FL 33434-5636
Phone
(561) 477-5836
Fax
(561) 477-7388
NPI assigned
Nov 6, 2007
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dennis Mark Rockwell, LCSW
Title
President/Owner
Phone
(561) 477-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X SW0004553 FL Primary

Addresses

Primary practice location

Fontana Plaza, 9045 Lafontana Blvd
Suite 222
Boca Raton, FL 33434-5636

Mailing address

Fontana Plaza, 9045 Lafontana Blvd
Suite 222
Boca Raton, FL 33434-5636
Phone (561) 477-5836

Other identifiers 2

IdentifierTypeStateIssuer
K6892OtherFLBLUE CROSS/BLUE SHIELD
6281531OtherFLUNITED BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Locations

1956 NE 5th Ave
Ste 7
Boca Raton, FL 33431
Phone (561) 239-5618

9045 La Fontana Blvd
Ste 222
Boca Raton, FL 33434
Phone (561) 389-5134

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1063692275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FONTANA PLAZA, 9045 LAFONTANA BLVD",
            "address_2": "SUITE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-477-5836",
            "fax_number": "561-477-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FONTANA PLAZA, 9045 LAFONTANA BLVD",
            "address_2": "SUITE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-477-5836",
            "fax_number": "561-477-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS ROCKWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-477-5836",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW0004553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "K6892",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6281531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.