Center for Behavioral Medicine & Psychological Wellness,Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY0003620 Issued in FL

Legal business name

CENTER FOR BEHAVIORAL MEDICINE & PSYCHOLOGICAL WELLNESS,INC.

Practice address

150 SW 12TH Ave
Ste 207
Pompano Beach, FL 33069-3298

Phone

(954) 202-6200

Fax

(954) 202-6207

NPI assigned

Jun 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary S Traub, PH.D

Title

Director

Phone

(954) 202-6200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1285074716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE STE 207",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-202-6200",
            "fax_number": "954-202-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "STE 207",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-202-6200",
            "fax_number": "954-202-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL MEDICINE & PSYCHOLOGICAL WELLNESS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-202-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY0003620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.