Organization Active NPI

Neuroscience Research Institute of Florida, LLC

  • Psychiatric Residential Treatment Facility
  • West Palm Beach, FL
National Provider Identifier
1306437207
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8723OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ssullivan@marsrcm.com Direct

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.