Organization Active NPI

Young Men'S Christian Association of South Palm Beach County, Inc.

  • Health Educator
  • Boca Raton, FL
National Provider Identifier
1316496292
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTH PALM BEACH COUNTY, INC.
Practice address
6631 Palmetto Cir S
Boca Raton, FL 33433-3549
Phone
(800) 798-4531
Fax
(561) 392-6021
NPI assigned
Oct 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Jason Hagensick
Title
Chief Executive Officer
Phone
(561) 237-0947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

6631 Palmetto Cir S
Boca Raton, FL 33433-3549

Mailing address

6631 Palmetto Cir S
Boca Raton, FL 33433-3549
Phone (800) 798-4531

National Provider Directory

National Provider Directory

Locations

6631 Palmetto Cir S
Boca Raton, FL 33433
Phone (561) 395-9622

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1316496292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 PALMETTO CIR S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333549",
            "telephone_number": "800-798-4531",
            "fax_number": "561-392-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 PALMETTO CIR S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333549",
            "telephone_number": "800-798-4531",
            "fax_number": "561-392-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTH PALM BEACH COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "HAGENSICK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-237-0947"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.