NPIMap

Organization Active NPI

Nichd

  • Adult Day Care Clinic/Center
  • South Palm Beach, FL
National Provider Identifier
1184086449
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1155347 Issued in MD
Legal business name
NICHD
Practice address
4200 S Ocean Blvd
Apartment 201
South Palm Beach, FL 33480-5873
Phone
(301) 515-1817
NPI assigned
Mar 25, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Dr. Constantine Stratakis, MD
Title
Scientific Director
Phone
(301) 451-3726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1155347 MD Primary

Addresses

Primary practice location

4200 S Ocean Blvd
Apartment 201
South Palm Beach, FL 33480-5873

Mailing address

4200 S Ocean Blvd
Apartment 201
South Palm Beach, FL 33480-5873
Phone (301) 515-1817

Other identifiers 1

IdentifierTypeStateIssuer
1155347OtherMDMARYLAND LICENSE 1155347

National Provider Directory

National Provider Directory
Tax ID family
State of Hawaii Department of Health103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1184086449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S OCEAN BLVD",
            "address_2": "APARTMENT 201",
            "city": "SOUTH PALM BEACH",
            "state": "FL",
            "postal_code": "334805873",
            "telephone_number": "301-515-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S OCEAN BLVD",
            "address_2": "APARTMENT 201",
            "city": "SOUTH PALM BEACH",
            "state": "FL",
            "postal_code": "334805873",
            "telephone_number": "301-515-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "STRATAKIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "SCIENTIFIC DIRECTOR",
        "authorized_official_telephone_number": "301-451-3726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "1155347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE  1155347",
            "identifier": "1155347",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.