New Light Medical LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

NEW LIGHT MEDICAL LLC

Practice address

7601 N Federal Hwy
Suite 100B
Boca Raton, FL 33487-1657

Phone

(561) 332-5026

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Kristina Beaman

Title

Manager of Administration

Phone

(561) 336-9488

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Telisa Patrice Hayden, LMHC

  • Mental Health Counselor
  • Lake Worth, FL
  • NPI 1649770207
  NPD
• Tatyana Marshall, LCSW

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1578063186
  NPD
• Kristina Janiece Netherland, LMHC, NCC, MAC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1568963098
  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1285160895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "address_2": "SUITE 100B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-332-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "address_2": "SUITE 100B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-332-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "BEAMAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "MANAGER OF ADMINISTRATION",
        "authorized_official_telephone_number": "561-336-9488"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Leaf Dietetics, LLC.
• New Life Healing Center
• New Life Phcy
• New Sunrise Mental Health LLC
• New Wave Diagnsotics
• New York Diagnostic Services PC
• New York Medical Services PC
• New York Senior Dermatology PLLC

• Substance Abuse Rehabilitation Facility in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.