NPIMap

Organization Active NPI

On-Site Mental Health Services LLC

  • Community/Behavioral Health Agency
  • Coconut Creek, FL
National Provider Identifier
1205572849
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ON-SITE MENTAL HEALTH SERVICES LLC
Practice address
4580 Briarcliff LN
Coconut Creek, FL 33066-1734
Phone
(954) 415-8118
NPI assigned
May 6, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Krystal Nicole Boulton, LCSW
Title
Owner
Phone
(954) 415-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4580 Briarcliff LN
Coconut Creek, FL 33066-1734

Mailing address

4580 Briarcliff LN
Coconut Creek, FL 33066-1734
Phone (954) 415-8118

Other names 1

  • OMHS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1205572849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 BRIARCLIFF LN",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661734",
            "telephone_number": "954-415-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 BRIARCLIFF LN",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661734",
            "telephone_number": "954-415-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-415-8118",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMHS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OMHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.