Panda Therapy Circle, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PANDA THERAPY CIRCLE, LLC

Practice address

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833

Phone

(561) 704-7903

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Kay, LCSWNPI 1588180012

Title

Director

Phone

(561) 704-7903

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Alexander Kay, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1588180012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1326501024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NE 2ND ST # 1255",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323931",
            "telephone_number": "561-704-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PALMETTO PARK RD STE 800",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324833",
            "telephone_number": "561-704-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 Forest Hill Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065878",
            "country_code": "US",
            "telephone_number": "561-704-7903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 NW 17th Ave Ste 13",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334452513",
            "country_code": "US",
            "telephone_number": "561-704-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PANDA THERAPY CIRCLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-704-7903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela N. Markham Psy.D, P.a.
• Pamela N. Markham Psy.D. P.a.
• Andrew William Panakos, M.D.
• Danielle Diane Panariello
• Michaela Alexis Panariello, LMHC
• Ann Marie Panettieri, PT
• Brittany Lynn Pangerl, APRN
• Elizabeth Ann Pankey-Warren, LCSW, M. DIV
• John Panos, MD
• Destiny Pantoja

• Adult Mental Health Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.