Active NPI
Social Health Company
- Exclusive Provider Organization
- Fort Lauderdale, FL
National Provider Identifier
1417602764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- SOCIAL HEALTH COMPANY
- Doing business as
- SOCIAL HEALTH
- Practice address
- 501 E Las Olas Blvd Ste 222
Fort Lauderdale, FL 33301-2882 - Phone
- (888) 484-2466
- NPI assigned
- Feb 15, 2022
- 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. Wallace De Rothsman
- Title
- Ceo
- Phone
- (650) 379-9946
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Military Health Care Provider | 171000000X | |||
| PACE Provider Organization | 251T00000X | |||
| Exclusive Provider Organization | 302F00000X | Primary | ||
| Health Maintenance Organization | 302R00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
501 E Las Olas Blvd Ste 222
Fort Lauderdale, FL 33301-2882
Mailing address
2221 NE 164TH St Ste 296
Aventura, FL 33160-3703
Phone (888) 484-2466
Other names 1
- SOCIAL HEALTH
National Provider Directory
National Provider DirectoryLocations
501 E Las Olas Blvd
Ste 222
Fort Lauderdale, FL 33301
Phone (888) 484-2466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644883200000",
"number": "1417602764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 NE 164TH ST STE 296",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331603703",
"telephone_number": "888-484-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E LAS OLAS BLVD STE 222",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012882",
"telephone_number": "888-484-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL HEALTH COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A",
"authorized_official_last_name": "DE ROTHSMAN",
"authorized_official_first_name": "WALLACE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-379-9946",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOCIAL HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.