Individual provider Active NPI

Havovi B Shroff, M.D.

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1255730560
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11982 Issued in FL
Practice address
22047 State Road 7
Boca Raton, FL 33428-4219
Phone
(561) 800-2527
Fax
(561) 477-1556
NPI assigned
Aug 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MH11982 FL
Mental Health Counselor 101YM0800X MH11982 FL Primary

Addresses

Primary practice location

22047 State Road 7
Boca Raton, FL 33428-4219

Mailing address

11761 Island Lakes LN
Boca Raton, FL 33498-6804
Phone (561) 703-1878

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
I20231204000604 FL Practitioner - Mental Health Counselor 1153663349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22047 State Rd
Suite 7
Boca Raton, FL 33428-4219
Phone (561) 800-2527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MH11982FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Havovi B Shroff PHD LLC CurrentSince Nov 7, 2018 Accepting new patients

Locations

22047 State Road 7
Boca Raton, FL 33428
Phone (561) 477-1079

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1255730560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986804",
            "telephone_number": "561-703-1878",
            "fax_number": "561-477-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22047 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284219",
            "telephone_number": "561-800-2527",
            "fax_number": "561-477-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "HAVOVI",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "MH11982",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.