Jibe Wellness Center, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

JIBE WELLNESS CENTER, INC.

Practice address

3010 N Military TRL
Suite 301
Boca Raton, FL 33431-6361

Phone

(888) 769-0474

NPI assigned

Oct 31, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Virgilio, DC

Title

President

Phone

(877) 708-5423

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1497207963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 N MILITARY TRL",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316361",
            "telephone_number": "888-769-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N MILITARY TRL",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316361",
            "telephone_number": "888-769-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIBE WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "VIRGILIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-708-5423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivatharshini Jeyabalasingam, PH.D.
• Vasanti Jhaveri
• Vama Jhumkhawala
• Jibe Health Services LLC
• Jibe Recovery Services
• Jill C. Morris, PHD., PA
• Jill K. Bershad, LMHC, Cap
• Jill M. Hranicka, Psy.D., P.a.
• Jillian H Frieder MD Dermatology PLLC
• Beatriz Teresa Jimenez Cadilla, PHARMD

• Addiction (Substance Use Disorder) Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.