Organization Active NPI

Center for Neuroscience PL

  • Neurology Physician
  • Delray Beach, FL
National Provider Identifier
1124151931
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME72476 Issued in FL
Legal business name
CENTER FOR NEUROSCIENCE PL
Practice address
16244 Military TRL Ste 150
Delray Beach, FL 33484-6505
Phone
(561) 638-8872
Fax
(561) 638-8874
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Dr. M Farhan Siddiqui, M.D.
Title
President
Phone
(561) 638-8872

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PY6865 FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY6865 FL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY6865 FL
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME72476 FL Primary

Addresses

Primary practice location

16244 Military TRL Ste 150
Delray Beach, FL 33484-6505

Mailing address

16244 S Military TRL
Suite 150
Delray Beach, FL 33484-6534
Phone (561) 638-8872

National Provider Directory

National Provider Directory

Locations

9070 Kimberly Blvd
Ste 22
Boca Raton, FL 33434
Phone (561) 477-3285

16244 S Military Trl
Ste 150
Delray Beach, FL 33484
Phone (561) 499-1442

106 E Dakin Ave
Kissimmee, FL 34741
Phone (407) 518-0099

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1124151931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 150",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-638-8872",
            "fax_number": "561-638-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 MILITARY TRL STE 150",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846505",
            "telephone_number": "561-638-8872",
            "fax_number": "561-638-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROSCIENCE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "FARHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-638-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6865",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6865",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6865",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME72476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.