FL Center for Compulsive & Addictive Behaviors, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW9308 Issued in FL

Legal business name

FL CENTER FOR COMPULSIVE & ADDICTIVE BEHAVIORS, LLC

Practice address

2630 E Oakland Park Blvd
Fort Lauderdale, FL 33306-1603

Phone

(561) 501-1725

NPI assigned

Feb 17, 2015

Organization subpart

No

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

Authorized official

Name

Mitchel Rosenholtz, MSW

Title

Ceo

Phone

(561) 501-1725

Specialties & licenses 1

Addresses

Other names 1

• Fort Lauderdale Behavior Therapy Doing business as

Locations

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1275924979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061603",
            "telephone_number": "561-501-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E OAKLAND PARK BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061603",
            "telephone_number": "561-501-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL CENTER FOR COMPULSIVE & ADDICTIVE BEHAVIORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "ROSENHOLTZ",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-501-1725",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW9308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Lauderdale Behavior Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fort Lauderdale, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.