NPIMap

Organization Active NPI

Safe Harbour Recovery-Boynton, LLC Outpatient

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1093260374
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
5001 Issued in FL
Legal business name
SAFE HARBOUR RECOVERY-BOYNTON, LLC OUTPATIENT
Practice address
5601 Corporate Way Ste 320
West Palm Beach, FL 33407-2043
Phone
(561) 899-0930
Fax
(561) 232-3484
NPI assigned
Aug 17, 2016
Organization subpart
Yes
Parent organization
SAFE HARBOUR RECOVERY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tina Depaolis, PHD, LMHC, NCC, CAP
Title
Ceo/Clinical Director
Phone
(561) 899-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 5001 FL Primary

Addresses

Primary practice location

5601 Corporate Way Ste 320
West Palm Beach, FL 33407-2043

Mailing address

5601 Corporate Way Ste 320
West Palm Beach, FL 33407-2043
Phone (561) 899-0930

National Provider Directory

National Provider Directory
Tax ID family
Safe Harbour Recovery LLC2 organizations share this tax ID, including this one
Part of
Safe Harbour Recovery LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093260374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY STE 320",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072043",
            "telephone_number": "561-899-0930",
            "fax_number": "561-232-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY STE 320",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072043",
            "telephone_number": "561-899-0930",
            "fax_number": "561-232-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOUR RECOVERY-BOYNTON, LLC OUTPATIENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFE HARBOUR RECOVERY, LLC",
        "enumeration_date": "2016-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEPAOLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-899-0930",
        "authorized_official_credential": "PHD, LMHC, NCC, CAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 2022; 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.