Organization Active NPI

J&M Support Services

  • Developmental Disabilities Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1477903201
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
J&M SUPPORT SERVICES
Practice address
740 Malibu Bay Dr Apt 203
West Palm Beach, FL 33401-8401
Phone
(561) 396-3005
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Jatara Latoi Mason, M.S.
Title
Owner
Phone
(561) 303-8688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

740 Malibu Bay Dr Apt 203
West Palm Beach, FL 33401-8401

Mailing address

740 Malibu Bay Dr Apt 203
West Palm Beach, FL 33401-8401
Phone (561) 396-3005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1477903201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MALIBU BAY DR APT 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018401",
            "telephone_number": "561-396-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MALIBU BAY DR APT 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018401",
            "telephone_number": "561-396-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&M SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JATARA",
        "authorized_official_middle_name": "LATOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-303-8688",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 13, 2016; 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.