Individual provider Active NPI

Roselyn Metayer

  • Developmental Disabilities Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1205387495
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Practice address
1509 NW 21St St
Boynton Beach, FL 33436-2820
Phone
(305) 609-7403
NPI assigned
Oct 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1509 NW 21St St
Boynton Beach, FL 33436-2820

Mailing address

12798 Forest Hill Blvd Ste 205a
Wellington, FL 33414-4751
Phone (954) 326-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Angel Care Services Inc Developmental Disabilities CurrentSince Sep 5, 2023 Accepting new patients

Locations

12798 Forest Hill Blvd
Ste 205A
Wellington, FL 33414
Phone (954) 326-8551

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1205387495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12798 FOREST HILL BLVD STE 205A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144751",
            "telephone_number": "954-326-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 NW 21ST ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362820",
            "telephone_number": "305-609-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "ROSELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.