Active NPI
Matriscino Associates,Inc.
- Community/Behavioral Health Agency
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- P97000056660
- Legal business name
- MATRISCINO ASSOCIATES,INC.
- Practice address
- 3600 Broadway Ste 11
West Palm Beach, FL 33407-4844 - Phone
- (561) 832-7007
- NPI assigned
- Apr 1, 2013
- Last updated
- Nov 4, 2024
- 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
- Dion Matriscino
- Title
- President
- Phone
- (561) 832-7007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | P97000056660 | FL | Primary |
Addresses
Primary practice location
3600 Broadway Ste 11
West Palm Beach, FL 33407-4844
Mailing address
3600 Broadway Ste 11
West Palm Beach, FL 33407-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 677834800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Butler St
Ste 103
West Palm Beach, FL 33407
Phone (561) 685-2344
2300 Palm Beach Lakes Blvd
Ste 210
West Palm Beach, FL 33409
Phone (561) 480-7557
3600 Broadway
Ste 11
West Palm Beach, FL 33407
Phone (561) 832-7007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- West Palm Beach, FL
- NPI 1033414545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1326381070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 BROADWAY STE 11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334074844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 BROADWAY STE 11",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334074844",
"telephone_number": "561-832-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRISCINO ASSOCIATES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-01",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "MATRISCINO",
"authorized_official_first_name": "DION",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-832-7007"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "P97000056660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "677834800",
"state": "FL"
}
],
"endpoints": [],
"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 Nov 4, 2024; 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.