Elaine Banta, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4354 Issued in FL

Practice address

725 Na1A
Ste B106
Jupiter, FL 33477

Phone

(561) 427-0144

Fax

(561) 747-0258

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1346412780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NA1A",
            "address_2": "STE B106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "561-427-0144",
            "fax_number": "561-747-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NA1A",
            "address_2": "STE B106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "561-427-0144",
            "fax_number": "561-747-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracyn S Baldwin, DC
• Deborah V Balik, D.D.S.
• Kurt Bally, D.M.D
• Rini Banerji, R.D.
• Rajendra K Bansal, MD
• Abdulrahman Baqais, M.D.
• Barbara'S Sunny Day LLC
• Richard D Barfield, MD
• Edward Leonardo Barias, MD
• Bariatric Medicine of Jupiter Inc.

• Clinical Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.