Individual provider Active NPI

Jeffrey Lynn Bercaw

  • Marriage & Family Therapist
  • Boca Raton, FL
National Provider Identifier
1386517233
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4750 Issued in FL
Practice address
2350 W Yamato Rd
Boca Raton, FL 33431-8401
Phone
(561) 241-9014
NPI assigned
Sep 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT4750 FL Primary

Addresses

Primary practice location

2350 W Yamato Rd
Boca Raton, FL 33431-8401

Mailing address

4561 Carthage Cir N
Lake Worth, FL 33463-7205
Phone (561) 313-1555

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
MT4750FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1386517233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 CARTHAGE CIR N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637205",
            "telephone_number": "561-313-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318401",
            "telephone_number": "561-241-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCAW",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.