Active NPI
Mark Behavioral Health LLC
- Psychiatric Residential Treatment Facility
- Lantana, FL
National Provider Identifier
1396597621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MARK BEHAVIORAL HEALTH LLC
- Practice address
- 128 Lakeview Ave
Lantana, FL 33462-1806 - Phone
- (954) 675-6898
- NPI assigned
- Apr 2, 2024
- Last updated
- Apr 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Borkowski
- Title
- Ceo
- Phone
- (954) 675-6898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
128 Lakeview Ave
Lantana, FL 33462-1806
Mailing address
6574 N State Road 7 # 154
Coconut Creek, FL 33073-3625
Phone (954) 675-6898
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2319449 | Mark Behavioral Health LLC | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712016000000",
"number": "1396597621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6574 N STATE ROAD 7 # 154",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733625",
"telephone_number": "954-675-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 LAKEVIEW AVE",
"city": "LANTANA",
"state": "FL",
"postal_code": "334621806",
"telephone_number": "954-675-6898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A",
"authorized_official_last_name": "BORKOWSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-675-6898",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.