Active NPI
J&M Support Services
- Developmental Disabilities Clinic/Center
- West Palm Beach, FL
National Provider Identifier
1477903201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.