Organization Active NPI

Palm Atlantic Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jupiter, FL
National Provider Identifier
1306649041
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PALM ATLANTIC BEHAVIORAL HEALTH LLC
Practice address
4600 Military TRL Ste 221
Jupiter, FL 33458-4813
Phone
(561) 206-4599
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Sofian Sheikh
Title
Title MGR
Phone
(561) 206-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4600 Military TRL Ste 221
Jupiter, FL 33458-4813

Mailing address

12332 SW Sand Dollar Way
Port St Lucie, FL 34987-6429
Phone (561) 398-7334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319001671 FL Part B Supplier - Clinic/Group Practice 5991289779 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1306649041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 SW SAND DOLLAR WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349876429",
            "telephone_number": "561-398-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 221",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584813",
            "telephone_number": "561-206-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM ATLANTIC BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "SOFIAN",
        "authorized_official_title_or_position": "TITLE MGR",
        "authorized_official_telephone_number": "561-206-4599"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.