Organization Active NPI

Palm Beach Behavioral Health Group, LLC

  • Group Psychotherapy Psychologist
  • Boynton Beach, FL
National Provider Identifier
1346836111
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
PALM BEACH BEHAVIORAL HEALTH GROUP, LLC
Practice address
2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone
(561) 704-9558
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Mr. Kevin S Choi
Title
Ceo
Phone
(561) 704-9558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323

Mailing address

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone (561) 704-9558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1346836111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-704-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-704-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH BEHAVIORAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-9558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.