Palm Beach Therapy Center, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3211 Issued in FL

Legal business name

PALM BEACH THERAPY CENTER, LLC

Practice address

3200 N Federal Hwy
Suite 206-14
Boca Raton, FL 33431-6035

Phone

(718) 916-7759

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Lundin-Fish, PH.D., LMFTNPI 1982158077

Title

Owner

Phone

(718) 916-7759

Specialties & licenses 1

Addresses

Locations

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.

• Lori Lundin-Fish, PH.D., LMFT

  • Marriage & Family Therapist
  • Boca Raton, FL
  • NPI 1982158077
  NPD (past) Authorized official

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1619423076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY",
            "address_2": "SUITE 206-14",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316035",
            "telephone_number": "718-916-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY",
            "address_2": "SUITE 206-14",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316035",
            "telephone_number": "718-916-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "LUNDIN-FISH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-916-7759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Beach Therapy Inc.
• Palm Behavioral Services Inc
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• Palm Orthopedics and Rehabilitation, LLC
• Palmbeach Psychotherapy LLC

• Marriage & Family Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.