Organization Active NPI

Premier Health and Wellness Center of the Palm Beaches, LLC

  • Psychiatry Physician
  • Jupiter, FL
National Provider Identifier
1588051403
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61458 Issued in FL
Legal business name
PREMIER HEALTH AND WELLNESS CENTER OF THE PALM BEACHES, LLC
Practice address
221 Greenwich Cir Ste 100
Jupiter, FL 33458-2891
Phone
(561) 427-1770
Fax
(800) 349-5613
NPI assigned
Apr 17, 2015
Last updated
Apr 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Jeanne Yetz, M.D.NPI 1679630644
Title
Owner
Phone
(561) 427-1770

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
Psychiatry Physician 2084P0800X 61458 FL Primary

Addresses

Primary practice location

221 Greenwich Cir Ste 100
Jupiter, FL 33458-2891

Mailing address

221 Greenwich Cir
Suite 100
Jupiter, FL 33458-2890
Phone (561) 427-1770

National Provider Directory

National Provider Directory

Locations

221 Greenwich Cir
Ste 100
Jupiter, FL 33458
Phone (561) 427-1770

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1588051403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 GREENWICH CIR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582890",
            "telephone_number": "561-427-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 GREENWICH CIR STE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582891",
            "telephone_number": "561-427-1770",
            "fax_number": "800-349-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH AND WELLNESS CENTER OF THE PALM BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "YETZ",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-427-1770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "61458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.