NPIMap

Organization Active NPI

East Boca Raton Physicians Group, LLC

  • Group Psychotherapy Psychologist
  • Boca Raton, FL
National Provider Identifier
1407210669
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
EAST BOCA RATON PHYSICIANS GROUP, LLC
Practice address
2234 N Federal Hwy
Suite 321
Boca Raton, FL 33431-7710
Phone
(561) 279-5221
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Jacob Frydman, BA
Title
Ceo
Phone
(561) 279-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

2234 N Federal Hwy
Suite 321
Boca Raton, FL 33431-7710

Mailing address

2234 N Federal Hwy
Suite 321
Boca Raton, FL 33431-7710
Phone (561) 279-5221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1407210669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N FEDERAL HWY",
            "address_2": "SUITE 321",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317710",
            "telephone_number": "561-279-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 N FEDERAL HWY",
            "address_2": "SUITE 321",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317710",
            "telephone_number": "561-279-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BOCA RATON PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "FRYDMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-279-5221",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "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 Apr 13, 2016; 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.