Organization Active NPI

Able to Dream Inc

  • Developmental Disabilities Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1558033803
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ABLE TO DREAM INC
Practice address
1375 Gateway Blvd Ste Vo548
Boynton Beach, FL 33426-8304
Phone
(305) 890-2449
Fax
(844) 829-2617
NPI assigned
Oct 4, 2021
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Daniel McKenzie-Plez
Title
Owner
Phone
(305) 890-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1375 Gateway Blvd Ste Vo548
Boynton Beach, FL 33426-8304

Mailing address

1375 Gateway Blvd Ste Vo548
Boynton Beach, FL 33426-8304
Phone (305) 890-2449

Other identifiers 1

IdentifierTypeStateIssuer
104469800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1375 Gateway Blvd
Ste VO548
Boynton Beach, FL 33426
Phone (305) 890-2449

1000 E Atlantic Blvd
Ste 210
Pompano Beach, FL 33060

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1558033803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD STE VO548",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "305-890-2449",
            "fax_number": "844-829-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD STE VO548",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "305-890-2449",
            "fax_number": "844-829-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE TO DREAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE-PLEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-890-2449"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104469800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.