NPIMap

Organization Active NPI

Elaine M Donaghue LCSW, Acsw, RN, LLC

  • Adult Mental Health Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1588909733
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
SW 4422 Issued in FL
Legal business name
ELAINE M DONAGHUE LCSW, ACSW, RN, LLC
Practice address
777 E Atlantic Ave
Suite B4
Delray Beach, FL 33483-5360
Phone
(561) 279-2727
Fax
(561) 732-9751
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Ms. Elaine M Donaghue, LCSW, ACSW, RN, LLC
Title
Psychotherapist
Phone
(561) 279-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X SW 4422 FL Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X SW 4422 FL

Addresses

Primary practice location

777 E Atlantic Ave
Suite B4
Delray Beach, FL 33483-5360

Mailing address

777 E Atlantic Ave
Suite B4
Delray Beach, FL 33483-5360
Phone (561) 279-2727

National Provider Directory

National Provider Directory

Locations

777 E Atlantic Ave
Ste B4
Delray Beach, FL 33483
Phone (561) 279-2727

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1588909733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E ATLANTIC AVE",
            "address_2": "SUITE B4",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835360",
            "telephone_number": "561-279-2727",
            "fax_number": "561-732-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E ATLANTIC AVE",
            "address_2": "SUITE B4",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835360",
            "telephone_number": "561-279-2727",
            "fax_number": "561-732-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE M DONAGHUE LCSW, ACSW, RN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "DONAGHUE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "561-279-2727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, ACSW, RN, LLC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW 4422",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "SW 4422",
            "primary": false
        }
    ],
    "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 Nov 28, 2012; 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.