NPIMap

Organization Active NPI

Michael Q. Amberg, Ma, PA

  • Marriage & Family Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1083147540
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT0870 Issued in FL
Legal business name
MICHAEL Q. AMBERG, MA, PA
Practice address
12300 Alternate A1A
Suite 113
Palm Beach Gardens, FL 33410-2205
Phone
(561) 627-3113
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Mr. Michael Amberg, LMFTNPI 1174692594
Title
Owner
Phone
(561) 627-3113

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
Marriage & Family Therapist 106H00000X MT0870 FL Primary

Addresses

Primary practice location

12300 Alternate A1A
Suite 113
Palm Beach Gardens, FL 33410-2205

Mailing address

12300 Alternate A1A
Suite 113
Palm Beach Gardens, FL 33410-2205
Phone (561) 627-3113

National Provider Directory

National Provider Directory

Locations

12300 Alternate A1A
Ste 113
Palm Beach Gardens, FL 33410
Phone (561) 339-7665

Practitioners & affiliated clinicians

Practitioners 3

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": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1083147540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 ALTERNATE A1A",
            "address_2": "SUITE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-627-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALTERNATE A1A",
            "address_2": "SUITE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-627-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Q. AMBERG, MA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "AMBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-627-3113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.