Principles Recovery Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PRINCIPLES RECOVERY CENTER LLC

Doing business as

AWA: Adolescent Wellness Academy

Practice address

9350 Sunset Dr Ste 118
Miami, FL 33173-3245

Phone

(561) 816-9023

Fax

(954) 368-1345

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Dustin Johnson

Title

Ceo

Phone

(561) 816-9023

Specialties & licenses 1

Addresses

Other names 1

• AWA: Adolescent Wellness Academy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Awa Adolescent Wellness Academy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Coconut Creek, FL
  • NPI 1558289827
  NPD tax ID
• Principles Recovery Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davie, FL
  • NPI 1639566409
  NPD tax ID
• Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Davie, FL
  • NPI 1912872185
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Fortunato De Filippo

  • Psychiatry Physician
  • Hollywood, FL
  • NPI 1346223658
  NPD (past)

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1225884091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "561-816-9023",
            "fax_number": "954-368-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLES RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-816-9023"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AWA: Adolescent Wellness Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AWA: Adolescent Wellness Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jammie Principe, MD
• Jonathan Prioleau
• Priority Home Health Care, Inc.
• Priority Home Health Inc.
• Priority Medical Rehab
• Elisa M Priscal, OTR

• Adolescent and Children Mental Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.