Organization Active NPI

Achieve Behavioral Healthcare LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1588065965
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ACHIEVE BEHAVIORAL HEALTHCARE LLC
Practice address
1200 NW 17TH Avenue
Suite 6
Delray Beach, FL 33445
Phone
(561) 749-9550
Fax
(561) 501-5129
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Mr. Henry D. Jamison IV
Title
C.E.O.
Phone
(561) 749-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1200 NW 17TH Avenue
Suite 6
Delray Beach, FL 33445

Mailing address

1200 NW 17TH Avenue
Suite 18
Delray Beach, FL 33445
Phone (561) 749-9550

National Provider Directory

National Provider Directory
Tax ID family
Achieve Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 NW 17th Ave
Ste 18
Delray Beach, FL 33445

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1588065965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 17TH AVENUE",
            "address_2": "SUITE 18",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-749-9550",
            "fax_number": "561-501-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 17TH AVENUE",
            "address_2": "SUITE 6",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-749-9550",
            "fax_number": "561-501-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "561-749-9550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.