Organization Active NPI

Archways

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1104004480
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW6590 Issued in FL
Legal business name
ARCHWAYS
Practice address
919 NE 13TH St
Fort Lauderdale, FL 33304-2009
Phone
(954) 763-2030
Fax
(954) 763-9847
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Andrea Katz, LCSW
Title
Ceo
Phone
(954) 763-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW6590 FL Primary

Addresses

Primary practice location

919 NE 13TH St
Fort Lauderdale, FL 33304-2009

Mailing address

919 NE 13TH St
Fort Lauderdale, FL 33304-2009
Phone (954) 763-2030

Other identifiers 2

IdentifierTypeStateIssuer
754932600MedicaidFL
74537YOtherFLMEDICARE PROVIDER

National Provider Directory

National Provider Directory

Locations

919 NE 13th St
Ft Lauderdale, FL 33304
Phone (954) 763-2030

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1104004480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 NE 13TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042009",
            "telephone_number": "954-763-2030",
            "fax_number": "954-763-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 NE 13TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042009",
            "telephone_number": "954-763-2030",
            "fax_number": "954-763-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-763-2030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW6590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754932600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "74537Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.