Organization Active NPI

Transformation Therapy Inc

  • Adult Mental Health Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1467905166
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TRANSFORMATION THERAPY INC
Practice address
3668 Turtle Island CT
West Palm Beach, FL 33411-6444
Phone
(240) 605-2882
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Dr. Rose Coretta Merchant, PHD
Title
President
Phone
(240) 605-2882

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

3668 Turtle Island CT
West Palm Beach, FL 33411-6444

Mailing address

3668 Turtle Island CT
West Palm Beach, FL 33411
Phone (240) 605-2882

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1467905166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3668 TURTLE ISLAND CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "240-605-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3668 TURTLE ISLAND CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116444",
            "telephone_number": "240-605-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "CORETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-605-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "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 Dec 6, 2019; 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.