Organization Active NPI

Partners in Treatment

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1194162636
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PARTNERS IN TREATMENT
Practice address
1489 N Military TRL Ste 114
West Palm Beach, FL 33409-6057
Phone
(561) 222-4724
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mrs. Doris A Carroll, MS,CPP, CAP
Title
Executive/Clinical Director
Phone
(561) 632-5663

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IMH8296 FL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1489 N Military TRL Ste 114
West Palm Beach, FL 33409-6057

Mailing address

1489 N Military TRL Ste 114
West Palm Beach, FL 33409-6057
Phone (561) 632-5663

Other identifiers 4

IdentifierTypeStateIssuer
10D2035758OtherFLCLIA
LIC-1047005OtherFLDEPARTMENT OF CHILDREN AND FAMILIES
608574OtherFLTHE JOINT COMMISSION
LIC-1045095OtherFLDEPARTMENT OF CHILDREN AND FAMILIES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1194162636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 114",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096057",
            "telephone_number": "561-632-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 114",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096057",
            "telephone_number": "561-222-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-632-5663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,CPP, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "IMH8296",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2035758",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
            "identifier": "LIC-1047005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE JOINT COMMISSION",
            "identifier": "608574",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
            "identifier": "LIC-1045095",
            "state": "FL"
        }
    ],
    "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 Apr 23, 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.