Havovi B Shroff PHD LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

MH11982 Issued in FL

Legal business name

HAVOVI B SHROFF PHD LLC

Practice address

11761 Island Lakes LN
Boca Raton, FL 33498-6804

Phone

(561) 800-2527

Fax

(561) 447-1556

NPI assigned

Aug 14, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Havovi B ShroffNPI 1255730560

Title

President Owner

Phone

(561) 800-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Havovi B Shroff, M.D.

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1255730560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1417356551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334356702",
            "telephone_number": "561-703-1878",
            "fax_number": "561-447-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11761 ISLAND LAKES LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986804",
            "telephone_number": "561-800-2527",
            "fax_number": "561-447-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVOVI B SHROFF PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "SHROFF",
        "authorized_official_first_name": "HAVOVI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "561-800-2527"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "MH11982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Behavior Corp.
• Havencrest Alf LLC
• Natalie H Havens
• David Samuel Haverman, MD MPH
• Elana R Haverman, DPT
• Ronald Earl Hawk, D.D.S.
• Gwen B Hawley
• Hawthorne Medical Management, Inc.
• Jessica Marie Hayes
• Dakirra Haynes

• Group Psychotherapy Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.