Organization Active NPI

Family Therapy Providers, PA

  • Community/Behavioral Health Agency
  • Plantation, FL
National Provider Identifier
1578088415
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MT2678 Issued in FL
Legal business name
FAMILY THERAPY PROVIDERS, PA
Practice address
1830 N Pine Island Rd
Plantation, FL 33322-5202
Phone
(954) 609-8175
Fax
(954) 337-3722
NPI assigned
Aug 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mary Killmeyer, DMFT, LMFTNPI 1255708608
Title
Owner
Phone
(954) 609-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MT2678 FL Primary

Addresses

Primary practice location

1830 N Pine Island Rd
Plantation, FL 33322-5202

Mailing address

1830 N Pine Island Rd
Plantation, FL 33322-5202
Phone (954) 609-8175

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578088415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225202",
            "telephone_number": "954-609-8175",
            "fax_number": "954-337-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N PINE ISLAND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225202",
            "telephone_number": "954-609-8175",
            "fax_number": "954-337-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY PROVIDERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KILLMEYER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-609-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.