Organization Active NPI

The Shores Treatment and Recovery

  • Addiction (Substance Use Disorder) Psychologist
  • Port Saint Lucie, FL
National Provider Identifier
1619356888
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
THE SHORES TREATMENT AND RECOVERY
Practice address
8493 S US Highway 1 Ste 14
Port Saint Lucie, FL 34952-3360
Phone
(772) 800-3990
NPI assigned
May 21, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Brian Veccia
Title
Coo/Managing Partner
Phone
(772) 800-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X Primary

Addresses

Primary practice location

8493 S US Highway 1 Ste 14
Port Saint Lucie, FL 34952-3360

Mailing address

8493 S US Highway 1 Ste 14
Port Saint Lucie, FL 34952-3360

National Provider Directory

National Provider Directory
Tax ID family
Shores Treatment and Recovery Service LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8493 S US Highway 1
Ste 14
Port St Lucie, FL 34952
Phone (772) 800-3990

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1619356888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1 STE 14",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8493 S US HIGHWAY 1 STE 14",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-800-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHORES TREATMENT AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "VECCIA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "COO/MANAGING PARTNER",
        "authorized_official_telephone_number": "772-800-3990"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.