Organization Active NPI

PBC & Associates Mental Health Services

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1164835856
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PBC & ASSOCIATES MENTAL HEALTH SERVICES
Practice address
4699 N Federal Hwy
102F
Pompano Beach, FL 33064-6510
Phone
(954) 210-6070
Fax
(888) 900-2325
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Mr. Alan Duretz
Title
Consultant
Phone
(954) 366-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4699 N Federal Hwy
102F
Pompano Beach, FL 33064-6510

Mailing address

4699 N Federal Hwy
102F
Pompano Beach, FL 33064-6510
Phone (954) 210-6070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1164835856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY",
            "address_2": "102F",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-210-6070",
            "fax_number": "888-900-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY",
            "address_2": "102F",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-210-6070",
            "fax_number": "888-900-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBC & ASSOCIATES MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "DURETZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "954-366-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.