Organization Active NPI

The Center for Individual and Relational Development

  • Mental Health Counselor
  • Wellington, FL
National Provider Identifier
1467535831
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MT1796, SW5422 Issued in FL
Legal business name
THE CENTER FOR INDIVIDUAL AND RELATIONAL DEVELOPMENT
Practice address
12773 W Forest Hill Blvd
Suite 214
Wellington, FL 33414-4767
Phone
(561) 791-7741
Fax
(561) 383-7067
NPI assigned
Oct 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Melissa Dawn Schwartz, LCSW, LMFT
Title
President
Phone
(561) 791-7741

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MT1796, SW5422 FL Primary
Mental Health Counselor 101YM0800X MT 1729 FL

Addresses

Primary practice location

12773 W Forest Hill Blvd
Suite 214
Wellington, FL 33414-4767

Mailing address

1143 Lake Breeze Dr
Wellington, FL 33414-7946
Phone (561) 791-7741

National Provider Directory

National Provider Directory

Locations

12773 Forest Hill Blvd
Ste 214
Wellington, FL 33414
Phone (561) 389-0493

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467535831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 LAKE BREEZE DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147946",
            "telephone_number": "561-791-7741",
            "fax_number": "561-383-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 W FOREST HILL BLVD",
            "address_2": "SUITE 214",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144767",
            "telephone_number": "561-791-7741",
            "fax_number": "561-383-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INDIVIDUAL AND RELATIONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-791-7741",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT1796, SW5422",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT 1729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.