Active NPI
The Center for Positive Growth, PLLC
- Mental Health Counselor
- Ft Lauderdale, FL
National Provider Identifier
1114201969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8804
- Legal business name
- THE CENTER FOR POSITIVE GROWTH, PLLC
- Practice address
- 2699 Stirling Rd Ste C105
Ft Lauderdale, FL 33312-6546 - Phone
- (954) 696-9750
- NPI assigned
- Sep 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy Rindom
- Title
- Chief Clinical Officer
- Phone
- (954) 274-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8804 | FL | Primary |
Addresses
Primary practice location
2699 Stirling Rd Ste C105
Ft Lauderdale, FL 33312-6546
Mailing address
2519 Fillmore St
Hollywood, FL 33020-4307
Phone (954) 696-9750
National Provider Directory
National Provider Directory- Tax ID family
- Clinique Healthcare Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Crystal, MN
- NPI 1386826386
Locations
2699 Stirling Rd
Ste C105
Ft Lauderdale, FL 33312
Phone (954) 696-9750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1114201969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 FILLMORE ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204307",
"telephone_number": "954-696-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 STIRLING RD STE C105",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333126546",
"telephone_number": "954-696-9750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR POSITIVE GROWTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "RINDOM",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "954-274-2850",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.