Individual provider Active NPI

Ivonne Torriente Crespo, M.D.

  • Psychiatry Physician
  • Boynton Beach, FL
National Provider Identifier
1639548639
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME139678 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Sep 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MTL002830 DC
Psychiatry Physician 2084P0800X ME139678 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723

Mailing address

1100 Alabama Ave SE
Washington, DC 20032-4540
Phone (305) 934-9345

Other practice location 1

1100 Alabama Ave SE
Saint Elizabeths Hospital/DBH
Washington, DC 20032
Phone (202) 299-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715002177 FL Practitioner - Psychiatry 5890020762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boca Raton Psychiatry, LLCGroup PAC ID 0749547750, 27 clinicians

Practice addresses (Care Compare)

9980 N Central Park Blvd
Suite 210
Boca Raton, FL 33428-1703
Phone (561) 342-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MTL002830DCMDPsychiatry Physician
ME139678FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Florida, PLLC Psychiatry CurrentSince Nov 1, 2019 Accepting new patients
Boca Raton Psychiatry, LLC Psychiatry CurrentSince Nov 1, 2021 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

Interoperability endpoints

  • Direct secure messaging: bocaratonpsychiatry.ivonnetorrientecrespo@148004.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1639548639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324540",
            "telephone_number": "305-934-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Alabama Ave SE",
            "address_2": "Saint Elizabeths Hospital/DBH",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20032",
            "country_code": "US",
            "telephone_number": "202-299-5360",
            "fax_number": "202-561-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRIENTE CRESPO",
        "first_name": "IVONNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MTL002830",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME139678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.