Organization Active NPI

Insight to Recovery, Inc.

  • Family Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1083833073
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9035 Issued in FL
Legal business name
INSIGHT TO RECOVERY, INC.
Practice address
355 NE 5TH Avenue, Suite 5
Delray Beach, FL 33483
Phone
(561) 894-8693
Fax
(561) 894-8396
NPI assigned
Apr 25, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. Harvey D Brown
Title
Ceo
Phone
(561) 894-8693

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OS9035 FL Primary

Addresses

Primary practice location

355 NE 5TH Avenue, Suite 5
Delray Beach, FL 33483

Mailing address

355 NE 5TH Avenue, Suite 5
Delray Beach, FL 33483
Phone (561) 894-8693

Other identifiers 1

IdentifierTypeStateIssuer
S4YOtherFLBCBS ID

National Provider Directory

National Provider Directory
Tax ID family
Insight to Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

355 NE 5th Ave
Ste 5
Delray Beach, FL 33483
Phone (561) 573-2149

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1083833073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NE 5TH AVENUE, SUITE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-894-8693",
            "fax_number": "561-894-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NE 5TH AVENUE, SUITE 5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-894-8693",
            "fax_number": "561-894-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT TO RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-894-8693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "S4Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.