NPIMap

Organization Active NPI

Marriage & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Delray Beach, FL
National Provider Identifier
1265720569
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MT2162 Issued in FL
Legal business name
MARRIAGE & FAMILY SERVICES, INC.
Practice address
15200 Jog Rd
Suite 303
Delray Beach, FL 33446-1247
Phone
(561) 503-3059
Fax
(561) 634-2776
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Eric Thomas Mundt, LMFTNPI 1841478567
Title
Ceo/Owner
Phone
(561) 503-3059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MT2162 FL Primary

Addresses

Primary practice location

15200 Jog Rd
Suite 303
Delray Beach, FL 33446-1247

Mailing address

15200 Jog Rd
Suite 303
Delray Beach, FL 33446-1247
Phone (561) 503-3059

Other practice location 1

4306 W Broward Blvd Ste 205
Plantation, FL 33317-3755
Phone (562) 503-3059

Other practice location 2

1776 N Pine Island Rd Ste 208
Plantation, FL 33322-5223
Phone (561) 774-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190717003445 FL Part B Supplier - Clinic/Group Practice 5294060984 Receives reassigned benefits from 14 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Marriage Family Services Inc4 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.

Locations

1776 N Pine Island Rd
Ste 208
Plantation, FL 33322
Phone (561) 503-3059

4306 W Broward Blvd
Ste 205
Plantation, FL 33317
Phone (561) 503-3059

Networks

  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1265720569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 JOG RD",
            "address_2": "SUITE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461247",
            "telephone_number": "561-503-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 JOG RD",
            "address_2": "SUITE 303",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461247",
            "telephone_number": "561-503-3059",
            "fax_number": "561-634-2776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4306 W Broward Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333173755",
            "country_code": "US",
            "telephone_number": "562-503-3059",
            "fax_number": "561-634-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 N Pine Island Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333225223",
            "country_code": "US",
            "telephone_number": "561-774-8225",
            "fax_number": "561-634-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "561-503-3059",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.