Active NPI
Neuroscience Research Institute of Florida, LLC
- Psychiatric Residential Treatment Facility
- West Palm Beach, FL
National Provider Identifier
1306437207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, LLC
- Practice address
- 2010 Ponce de Leon Ave Unit F&G
West Palm Beach, FL 33407-6040 - Phone
- (561) 598-6953
- NPI assigned
- Feb 2, 2021
- Last updated
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danesh Alam, MD
- Title
- Ceo
- Phone
- (561) 678-8600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
2010 Ponce de Leon Ave Unit F&G
West Palm Beach, FL 33407-6040
Mailing address
2010 Ponce de Leon Ave Unit F&G
West Palm Beach, FL 33407-6040
Phone (561) 598-6953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8723 | Other | FL | AGENCY FOR HEALTH CARE ADMINISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ssullivan@marsrcm.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1306437207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 PONCE DE LEON AVE UNIT F&G",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076040",
"telephone_number": "561-598-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 PONCE DE LEON AVE UNIT F&G",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076040",
"telephone_number": "561-598-6953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A",
"authorized_official_last_name": "ALAM",
"authorized_official_first_name": "DANESH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-678-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
"identifier": "8723",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ssullivan@marsrcm.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2010 Ponce De Leon Ave Unit F&g",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334076040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
- Petra Ursel Neues, MD
- Katarina Neuhart, CRNA
- Neuralink Health LLC
- Neuro Intergration LLC
- Neuropsychiatric Research and Practice Associates, Inc.
- Neuroscience Research Institute of Florida, LLC (Neuroscience Institute)
- Neurosurgical Consultants of South Florida, LLC
- Neurosurgical Solutions LLC
- Neurosurgical Specialists LLC
- Never Walk Alone ABA Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.