NPIMap

Organization Active NPI

Advantage Clinic LLC

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1558735290
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME55707 Issued in FL
Legal business name
ADVANTAGE CLINIC LLC
Practice address
901 Northpoint Pkwy
Suite 302
West Palm Beach, FL 33407-1951
Phone
(561) 352-1587
Fax
(561) 420-0194
NPI assigned
Nov 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Taylor E Gaines, PHARM.D.,C.A.P.NPI 1285910398
Title
Chief Executive Officer
Phone
(561) 352-1587

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME55707 FL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME55707 FL

Addresses

Primary practice location

901 Northpoint Pkwy
Suite 302
West Palm Beach, FL 33407-1951

Mailing address

901 Northpoint Pkwy
Suite 302
West Palm Beach, FL 33407-1951
Phone (561) 352-1587

National Provider Directory

National Provider Directory

Locations

901 Northpoint Pkwy
Ste 302
West Palm Beach, FL 33407
Phone (561) 352-1587

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1558735290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORTHPOINT PKWY",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071951",
            "telephone_number": "561-352-1587",
            "fax_number": "561-420-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORTHPOINT PKWY",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071951",
            "telephone_number": "561-352-1587",
            "fax_number": "561-420-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-352-1587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D.,C.A.P."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME55707",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME55707",
            "primary": false
        }
    ],
    "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 Nov 18, 2015; 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.