Organization Active NPI

Theory One LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Singer Island, FL
National Provider Identifier
1346723905
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THEORY ONE LLC
Practice address
2655 North Ocean Drive, Ste 103
Singer Island, FL 33404-4794
Phone
(561) 379-1026
Fax
(561) 379-1027
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Gino Cicerchia
Title
Administrator
Phone
(561) 379-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2655 North Ocean Drive, Ste 103
Singer Island, FL 33404-4794

Mailing address

PO Box 746269
Atlanta, GA 30374-6269
Phone (561) 379-1026

Other identifiers 1

IdentifierTypeStateIssuer
XX-XXX6998OtherFLTIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JCHELALES@PRAESUMHEALTHCARE.COM

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jchelales@praesumhealthcare.com

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1346723905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746269",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746269",
            "telephone_number": "561-379-1026",
            "fax_number": "561-379-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTH OCEAN DRIVE, STE 103",
            "city": "SINGER ISLAND",
            "state": "FL",
            "postal_code": "334044794",
            "telephone_number": "561-379-1026",
            "fax_number": "561-379-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEORY ONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "CICERCHIA",
        "authorized_official_first_name": "GINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-379-1026"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "XX-XXX6998",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JCHELALES@PRAESUMHEALTHCARE.COM",
            "affiliation": "N",
            "address_1": "2655 NORTH OCEAN DRIVE, STE 103",
            "city": "SINGER ISLAND",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334044794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Singer Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.