Organization Active NPI

Support Services Consultants, LLC

  • Community/Behavioral Health Agency
  • Coconut Creek, FL
National Provider Identifier
1336529619
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW8384 Issued in FL
Legal business name
SUPPORT SERVICES CONSULTANTS, LLC
Practice address
3419 Cocoplum Cir
Coconut Creek, FL 33063-5924
Phone
(561) 635-6059
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Sandra Samame
Title
Manager/Psychotherapist
Phone
(561) 635-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SW8384 FL
Community/Behavioral Health Agency 251S00000X SW8384 FL Primary

Addresses

Primary practice location

3419 Cocoplum Cir
Coconut Creek, FL 33063-5924

Mailing address

3419 Cocoplum Cir
Coconut Creek, FL 33063-5924
Phone (561) 635-6059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1336529619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 COCOPLUM CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635924",
            "telephone_number": "561-635-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 COCOPLUM CIR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635924",
            "telephone_number": "561-635-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "SAMAME",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "561-635-6059"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW8384",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW8384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.