Active NPI
Haven Detox
- Psychiatric Hospital
- West Palm Beach, FL
National Provider Identifier
1457762809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- HAVEN DETOX
- Practice address
- 1325 N Haverhill Rd
West Palm Beach, FL 33417-5914 - Phone
- (561) 635-2400
- NPI assigned
- May 19, 2014
- 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. Kirill Vesselov
- Title
- President/Ceo
- Phone
- (561) 635-2400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | |||
| Psychiatric Hospital | 283Q00000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | 1550AD274001 | FL |
Addresses
Primary practice location
1325 N Haverhill Rd
West Palm Beach, FL 33417-5914
Mailing address
1325 North Haverhill Road
West Palm Beach, FL 33417
Phone (561) 635-2400
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- West Palm Beach, FL
- NPI 1497788103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1457762809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 NORTH HAVERHILL ROAD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33417",
"telephone_number": "561-635-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N HAVERHILL RD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334175914",
"telephone_number": "561-635-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN DETOX",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-19",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "VESSELOV",
"authorized_official_first_name": "KIRILL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "561-635-2400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": "1550AD274001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.