Organization Active NPI

Lucid Healing Center, LLC

  • Adult Mental Health Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1396563920
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LUCID HEALING CENTER, LLC
Practice address
3450 Northlake Blvd Ste 110
Palm Beach Gardens, FL 33403-1712
Phone
(561) 667-3383
NPI assigned
Oct 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Anthony Camaerei, MBA
Title
MGR
Phone
(570) 242-1768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3450 Northlake Blvd Ste 110
Palm Beach Gardens, FL 33403-1712

Mailing address

3450 Northlake Blvd Ste 110
Palm Beach Gardens, FL 33403-1712
Phone (561) 667-3383

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2314426Lucid Healing Center LLC3450 Northlake Blvd #110, Palm Beach Gardens, FL 33403Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1396563920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD STE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031712",
            "telephone_number": "561-667-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD STE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031712",
            "telephone_number": "561-667-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CAMAEREI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "570-242-1768",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.