Organization Active NPI

Jade House Management LLC

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1639045974
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JADE HOUSE MANAGEMENT LLC
Doing business as
Jade House Recovery
Practice address
5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone
(561) 821-7232
NPI assigned
Oct 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
John Visciano
Title
Ceo
Phone
(917) 960-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5205 Village Blvd
West Palm Beach, FL 33407-7907

Mailing address

5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone (561) 821-7232

Other names 1

  • Jade House Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jade House Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

601 Heritage Dr
Jupiter, FL 33458
Phone (561) 249-4050

5205 Village Blvd
West Palm Beach, FL 33407
Phone (561) 242-0505

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1639045974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334077907",
            "telephone_number": "561-821-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334077907",
            "telephone_number": "561-821-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE HOUSE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "VISCIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-960-1508"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade House Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2026; 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.