Individual provider Active NPI

Joseph Andrew Milisitz, PH.D.

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1104827864
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 2245 Issued in FL
Practice address
1499 W Palmetto Park Rd
# 172
Boca Raton, FL 33486-3328
Phone
(561) 620-9797
Fax
(561) 620-7848
NPI assigned
Aug 3, 2005
Last updated
Sep 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 2245 FL Primary

Addresses

Primary practice location

1499 W Palmetto Park Rd
# 172
Boca Raton, FL 33486-3328

Mailing address

1355 W Palmetto Park Rd
# 310
Boca Raton, FL 33486-3330
Phone (561) 620-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000660 FL Practitioner - Clinical Social Worker 3577521269 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1499 W Palmetto Park Rd
Suite 172
Boca Raton, FL 33486-3320
Phone (561) 620-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW 2245FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raul J Rodriguez Mdpa CurrentSince Sep 19, 2022 Accepting new patients

Locations

403 SE 1st St
Delray Beach, FL 33483
Phone (561) 266-8866

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1104827864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W PALMETTO PARK RD",
            "address_2": "# 310",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863330",
            "telephone_number": "561-620-9797",
            "fax_number": "561-620-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W PALMETTO PARK RD",
            "address_2": "# 172",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863328",
            "telephone_number": "561-620-9797",
            "fax_number": "561-620-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILISITZ",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.