Active NPI
Partners in Treatment
- Substance Abuse Rehabilitation Facility
- West Palm Beach, FL
National Provider Identifier
1194162636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10D2035758 | Other | FL | CLIA |
| LIC-1047005 | Other | FL | DEPARTMENT OF CHILDREN AND FAMILIES |
| 608574 | Other | FL | THE JOINT COMMISSION |
| LIC-1045095 | Other | FL | DEPARTMENT OF CHILDREN AND FAMILIES |
National Provider Directory
National Provider DirectoryNPI 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.