NPIMap

Organization Active NPI

Therapeutic Oasis of the Palm Beaches

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1184960171
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6439 Issued in FL
Legal business name
THERAPEUTIC OASIS OF THE PALM BEACHES
Practice address
851 Broken Sound Parkway NW
Suite 250
Boca Raton, FL 33487
Phone
(561) 278-6033
Fax
(561) 278-6023
NPI assigned
Dec 18, 2012
Last updated
Oct 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Nicole Friedman, PSY DNPI 1538344866
Title
Owner
Phone
(561) 278-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6439 FL Primary

Addresses

Primary practice location

851 Broken Sound Parkway NW
Suite 250
Boca Raton, FL 33487

Mailing address

851 Broken Sound Parkway NW
Suite 250
Boca Raton, FL 33487
Phone (561) 278-6033

National Provider Directory

National Provider Directory

Locations

851 Broken Sound Pkwy NW
Ste 250
Boca Raton, FL 33487
Phone (561) 278-6033

250 Royal Ct
Delray Beach, FL 33444
Phone (561) 278-6033

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1184960171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BROKEN SOUND PARKWAY NW",
            "address_2": "SUITE 250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BROKEN SOUND PARKWAY NW",
            "address_2": "SUITE 250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC OASIS OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-278-6033",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.