Active NPI
Pediatric Partners of Palm Beach County
- Psychologist
- Palm Beach Gardens, FL
National Provider Identifier
1619577798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PEDIATRIC PARTNERS OF PALM BEACH COUNTY
- Practice address
- 3401 Pga Blvd Ste 300
Palm Beach Gardens, FL 33410-2824 - Phone
- (561) 741-0000
- NPI assigned
- Oct 28, 2020
- 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
- Bethany Lacroix
- Title
- Revenue Cycle Supervisor
- Phone
- (561) 510-2356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3401 Pga Blvd Ste 300
Palm Beach Gardens, FL 33410-2824
Mailing address
3401 Pga Blvd Ste 300
Palm Beach Gardens, FL 33410-2824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108433100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Partners of Palm Beach County
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Therapist
- Jupiter, FL
- NPI 1730814195
-
- Pediatrics Physician
- Palm Beach Gardens, FL
- NPI 1861574030
Locations
3401 Pga Blvd
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 741-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Palm Beach Gardens, FL
- NPI 1073621561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1619577798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 300",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 300",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102824",
"telephone_number": "561-741-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PARTNERS OF PALM BEACH COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "LACROIX",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "REVENUE CYCLE SUPERVISOR",
"authorized_official_telephone_number": "561-510-2356"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108433100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
- Peartree Eyecare PA
- Virginia Ellaine Peck
- Pediatric and Adult Dentistry of the Palm Beaches PLLC
- Pediatric Dermatology of the Palm Beaches
- Pediatric Endocrine & Diabetes Specailists, PA
- Pediatric Partners of Palm Beach County, PA
- Pediatrix Medical Group of Florida Inc
- Jamie Denise Peers, ATC
- Mikenia Pelegrin
- Pellegrino Chiropractic Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.