Individual provider Active NPI

Joan Torgersen Magill, PSYD

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1235204454
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5563 Issued in FL
Practice address
2200 NW Corporate Blvd
Suite 110
Boca Raton, FL 33431-7307
Phone
(561) 981-8802
Fax
(561) 737-0986
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5563 FL Primary
Marriage & Family Therapist 106H00000X MT1482 FL
Marriage & Family Therapist 106H00000X MH51 MA

Addresses

Primary practice location

2200 NW Corporate Blvd
Suite 110
Boca Raton, FL 33431-7307

Mailing address

2200 NW Corporate Blvd
Suite 110
Boca Raton, FL 33431-7307
Phone (561) 981-8802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000583 FL Practitioner - Clinical Psychologist 9931090602 Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

851 Broken Sound Pkwy NW
Suite 250
Boca Raton, FL 33487-3640

955 NW 17TH Ave
Suite D
Delray Beach, FL 33445-2516
Phone (561) 278-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT1482FLMDMarriage & Family Therapist
MH51MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Oasis of the Palm Beaches PastSince Oct 27, 2019 Accepting new patients
Phil Heller, Psy.D., P.a. Past Accepting new patients

Organizations & group practices 2

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1235204454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "561-981-8802",
            "fax_number": "561-737-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NW CORPORATE BLVD",
            "address_2": "SUITE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317307",
            "telephone_number": "561-981-8802",
            "fax_number": "561-737-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "JOAN",
        "middle_name": "TORGERSEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5563",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1482",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "MH51",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.