Active NPI
Koral Naouri
- Marriage & Family Therapist
- Delray Beach, FL
National Provider Identifier
1366970626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT3460
- Practice address
- 15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249 - Phone
- (561) 503-3059
- Fax
- (561) 634-2776
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | FL | ||
| Behavior Technician | 106S00000X | |||
| Marriage & Family Therapist | 106H00000X | IMT3460 | FL | Primary |
Addresses
Primary practice location
15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249
Mailing address
15200 S Jog Rd Ste 303
Delray Beach, FL 33446-1249
Phone (561) 503-3059
Other practice location 1
7862 Red Mahogany Rd
Boynton Beach, FL 33437-7530
Phone (561) 336-0358
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMT3460 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Strides Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Delray Beach, FL
- NPI 1568911683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366970626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 S JOG RD STE 303",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334461249",
"telephone_number": "561-503-3059",
"fax_number": "561-634-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 S JOG RD STE 303",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334461249",
"telephone_number": "561-503-3059",
"fax_number": "561-634-2776"
}
],
"practiceLocations": [
{
"address_1": "7862 Red Mahogany Rd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334377530",
"country_code": "US",
"telephone_number": "561-336-0358",
"fax_number": "561-424-8109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAOURI",
"first_name": "KORAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2022-07-21",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT3460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.