NPIMap

Organization Active NPI

Recovery Medicine Group LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Greenacres, FL
National Provider Identifier
1346695889
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
OS 10159 Issued in FL
Legal business name
RECOVERY MEDICINE GROUP LLC
Practice address
6040 Lake Worth Rd
Greenacres, FL 33463-4287
Phone
(561) 676-6107
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Eyad Abushaban
Title
Ceo
Phone
(561) 676-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X OS 10159 FL Primary

Addresses

Primary practice location

6040 Lake Worth Rd
Greenacres, FL 33463-4287

Mailing address

6040 Lake Worth Rd
Greenacres, FL 33463-4287
Phone (561) 676-6107

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1346695889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634287",
            "telephone_number": "561-676-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634287",
            "telephone_number": "561-676-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "ABUSHABAN",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-676-6107"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "OS 10159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.