Heny Paiva de Amorim Schipper, M.S.

Individual provider Active NPI Marriage & Family Therapist · West Palm Beach, FL

NPI 1114178704 · NPPES record last updated Oct 1, 2008

Key facts

NPI
1114178704
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
IMT 1186 (FL)
Practice address
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Phone
(561) 712-8821
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMT 1186FLMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT 1186 FL Yes

Addresses

Primary practice location

1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330

Mailing address

4920 NW 53Rd Ave
Coconut Creek, FL 33073-3336
Phone (954) 421-9731

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2008.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1114178704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NW 53RD AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733336",
            "telephone_number": "954-421-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL STE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPER",
        "first_name": "HENY",
        "middle_name": "PAIVA DE AMORIM",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

All providers in West Palm Beach, FL · Marriage & Family Therapist in Florida

Sources for this page

Verify at the official NPI Registry.