Active NPI
Cfsatc Inc
Doing business as Central Florida Treatment Center Lake Worth
- Community/Behavioral Health Agency
- Lake Worth, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0950AD125701
- Legal business name
- CFSATC INC
- Doing business as
- Central Florida Treatment Center Lake Worth
- Practice address
- 3155 Lake Worth Road Suite #2
Lake Worth, FL 33461 - Phone
- (561) 439-8440
- Fax
- (561) 439-8229
- NPI assigned
- Aug 28, 2007
- Last updated
- May 19, 2020
- 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
- Mr. Dave Kneessy, MS, MCAP, MAC, LMHC
- Title
- Regional Director
- Phone
- (321) 951-9750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0950AD125701 | FL | Primary |
Addresses
Primary practice location
3155 Lake Worth Road Suite #2
Lake Worth, FL 33461
Mailing address
3155 Lake Worth Road Suite #2
Lake Worth, FL 33461
Phone (561) 439-8440
Other names 1
- CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191119003199 | FL | Part B Supplier - Opioid Treatment Program (Otp) | 7214369859 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cocoa, FL; Titusville, FL; Stuart, FL; Palm Bay, FL; Orlando, FL; Lake Worth, FL; Fort Pierce, FL; Fort Lauderdale, FL |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Central Florida Substance Abuse Treatment Centers
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1497498810
O20191119003199
-
dba CFSATC Inc dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1750349742
O20191119003199
-
dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Titusville, FL
- NPI 1780329359
O20191119003199
-
dba Central Florida Treatment Centers Fort Pierce
- Community/Behavioral Health Agency
- Fort Pierce, FL
- NPI 1861689135
O20191119003199
-
dba Central Florida Treatment Center
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1316142334
O20191119003199
-
dba Central Florida Treatment Center Palm Bay
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1356548721
O20191119003199
-
dba Central Florida Treatment Center Fort Lauderdale
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1811450620
O20191119003199
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2009587 | Central Florida Treatment Center Lake Worth | Certificate of waiver | Jul 7, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Cfsatc Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Central Florida Substance Abuse Treatment Centers
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1497498810
-
dba CFSATC Inc dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1750349742
-
dba Central Florida Treatment Centers
- Community/Behavioral Health Agency
- Titusville, FL
- NPI 1780329359
-
dba Central Florida Treatment Centers Fort Pierce
- Community/Behavioral Health Agency
- Fort Pierce, FL
- NPI 1861689135
-
dba Central Florida Treatment Center
- Community/Behavioral Health Agency
- Cocoa, FL
- NPI 1316142334
-
dba Central Florida Treatment Center Palm Bay
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1356548721
-
dba Central Florida Treatment Center Fort Lauderdale
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1811450620
Locations
3155 Lake Worth Rd
Ste 2
Palm Springs, FL 33461
Phone (407) 872-3000
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Addiction (Substance Use Disorder) Counselor
- Palm Bay, FL
- NPI 1871967273
-
- Addiction Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1437163615
-
- Addiction Medicine (Family Medicine) Physician
- Palm Springs, FL
- NPI 1205949336
-
- Addiction Medicine (Internal Medicine) Physician
- Titusville, FL
- NPI 1588152367
-
- Pain Medicine (Anesthesiology) Physician
- Fort Pierce, FL
- NPI 1831123082
-
- Addiction Medicine (Anesthesiology) Physician
- Indian Harbour Beach, FL
- NPI 1912975061
-
- Family Medicine Physician
- Jensen Beach, FL
- NPI 1487821641
-
- Addiction (Substance Use Disorder) Counselor
- Palm Springs, FL
- NPI 1508317066
-
- Psychiatric/Mental Health Nurse Practitioner
- Palm Springs, FL
- NPI 1063028850
-
- Addiction (Substance Use Disorder) Counselor
- Palm Springs, FL
- NPI 1609328772
-
- Clinical Social Worker
- Palm Springs, FL
- NPI 1396294179
-
- Case Manager/Care Coordinator
- West Palm Beach, FL
- NPI 1235488149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1508050147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 LAKE WORTH ROAD SUITE #2",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-439-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 LAKE WORTH ROAD SUITE #2",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33461",
"telephone_number": "561-439-8440",
"fax_number": "561-439-8229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CFSATC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "KNEESSY",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "REGIONAL DIRECTOR",
"authorized_official_telephone_number": "321-951-9750",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, MCAP, MAC, LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "0950AD125701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.