Active NPI
Ingrid Michelle Fonseca
- Developmental Therapist
- West Palm Beach, FL
National Provider Identifier
1336315191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 255 Walton Blvd
Suite #3
West Palm Beach, FL 33405-2380 - Phone
- (561) 574-6521
- NPI assigned
- May 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Social Worker | 104100000X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Dietary Manager | 132700000X | |||
| Reflexologist | 173C00000X | |||
| Graphics Designer | 1744G0900X | |||
| Developmental Therapist | 222Q00000X | Primary | ||
| Massage Therapist | 225700000X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
255 Walton Blvd
Suite #3
West Palm Beach, FL 33405-2380
Mailing address
255 Walton Blvd
Suite #3
West Palm Beach, FL 33405-2380
Phone (561) 574-6521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1336315191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 WALTON BLVD",
"address_2": "SUITE #3",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334052380",
"telephone_number": "561-574-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WALTON BLVD",
"address_2": "SUITE #3",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334052380",
"telephone_number": "561-574-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "INGRID",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744G0900X",
"taxonomy_group": "",
"desc": "Specialist, Graphics Designer",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.