Organization Active NPI

The Jerome Golden Center for Behavioral Health, Inc.

  • Psychiatric Hospital
  • West Palm Beach, FL
National Provider Identifier
1467446724
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
3980 Issued in FL
Legal business name
THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH, INC.
Practice address
1041 45TH St
West Palm Beach, FL 33407-2402
Phone
(561) 383-5736
Fax
(561) 383-5922
NPI assigned
Sep 1, 2005
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Truman C Pugh
Title
Ar Specialist
Phone
(210) 789-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 3980 FL Primary

Addresses

Primary practice location

1041 45TH St
West Palm Beach, FL 33407-2402

Mailing address

1041 45TH St
West Palm Beach, FL 33407-2402
Phone (561) 383-5736

Other identifiers 8

IdentifierTypeStateIssuer
060324401MedicaidFL
060324412MedicaidFL
060324406MedicaidFL
060324403MedicaidFL
060324408MedicaidFL
060324400MedicaidFL
060324404MedicaidFL
060324410MedicaidFL

Other names 1

  • Oakwood Center of the Palm Beaches, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

816 NW Avenue D
Belle Glade, FL 33430
Phone (561) 993-8080

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1467446724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-5736",
            "fax_number": "561-383-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-5736",
            "fax_number": "561-383-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEROME GOLDEN CENTER FOR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "TRUMAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "210-789-0329"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "FL",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324412",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324406",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324403",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324408",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324404",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060324410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Center of the Palm Beaches, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oakwood Center of the Palm Beaches, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 21, 2020; 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.