Individual provider Active NPI

Anjalee Haldane

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1366027617
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH19434 Issued in FL
Practice address
2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308
Phone
(561) 770-1780
Fax
(833) 562-8893
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH19434 FL Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308

Mailing address

2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308
Phone (561) 770-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH19434FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harm Reduction Center LLC CurrentSince Mar 21, 2021 Accepting new patients
Restorative Therapy for Wellness CurrentSince May 25, 2021 Accepting new patients

Locations

2500 Quantum Lakes Dr
Ste 105
Boynton Beach, FL 33426
Phone (561) 602-4554

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1366027617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-770-1780",
            "fax_number": "833-562-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 105",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-770-1780",
            "fax_number": "833-562-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALDANE",
        "first_name": "ANJALEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19434",
            "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 Mar 17, 2021; 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.