Active NPI
Soma Behavior Health, LLC
- Internal Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1619512480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SOMA BEHAVIOR HEALTH, LLC
- Practice address
- 3255 Forest Hill Blvd
West Palm Beach, FL 33406-5854 - Phone
- (561) 964-4577
- Fax
- (561) 964-7772
- NPI assigned
- Nov 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Ortiz
- Title
- Billing Director
- Phone
- (561) 758-5016
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3255 Forest Hill Blvd
West Palm Beach, FL 33406-5854
Mailing address
3255 Forest Hill Blvd
West Palm Beach, FL 33406-5854
Phone (561) 964-4577
National Provider Directory
National Provider DirectoryLocations
3255 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 433-5050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573776000000",
"number": "1619512480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 FOREST HILL BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065854",
"telephone_number": "561-964-4577",
"fax_number": "561-964-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 FOREST HILL BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065854",
"telephone_number": "561-964-4577",
"fax_number": "561-964-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMA BEHAVIOR HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "561-758-5016"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.