Organization Active NPI

Olivos Therapy Hub Inc

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1154996213
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVOS THERAPY HUB INC
Practice address
801 Northpoint Pkwy Ste 35
West Palm Beach, FL 33407-1991
Phone
(786) 872-9683
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Wilder Baro Fernandez
Title
Ceo
Phone
(786) 872-9683

Specialties & licenses 1

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

Addresses

Primary practice location

801 Northpoint Pkwy Ste 35
West Palm Beach, FL 33407-1991

Mailing address

801 Northpoint Pkwy Ste 35
West Palm Beach, FL 33407-1991

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1154996213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY STE 35",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY STE 35",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071991",
            "telephone_number": "786-872-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVOS THERAPY HUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "BARO FERNANDEZ",
        "authorized_official_first_name": "WILDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-872-9683"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.