Mathilde Ambroise, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT 1901 Issued in FL

Practice address

10800 N Military TRL
Suite 223
Palm Beach Gardens, FL 33410-6500

Phone

(561) 515-5347

Fax

(561) 404-4147

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2014.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1457765745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 N MILITARY TRL",
            "address_2": "SUITE 223",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106500",
            "telephone_number": "561-515-5347",
            "fax_number": "561-404-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 N MILITARY TRL",
            "address_2": "SUITE 223",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106500",
            "telephone_number": "561-515-5347",
            "fax_number": "561-404-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROISE",
        "first_name": "MATHILDE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "IMT 1901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alzheimers Community Care, Inc
• Antonio Xavier Amado
• Melanie Juliett Amador
• Gina Amato
• Michael Q Amberg, M.A.
• Michael F Ambrose, M.D.
• Ambrosia Wellness Program LLC
• Amerihealth Caritas Florida
• Amerihealth Caritas Florida, Inc.
• Amerihealth Caritas Florida, Inc.

• All providers in Palm Beach Gardens, FL
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.