Principles Recovery Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRINCIPLES RECOVERY CENTER LLC

Practice address

4343 S State Road 7 Ste 101
Davie, FL 33314-4009

Phone

(954) 368-1344

Fax

(954) 368-1345

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Dustin Johnson

Title

Admin

Phone

(561) 816-9023

Specialties & licenses 2

Addresses

Other names 1

• AWA: ADOLESCENT WELLNESS ACADEMY Doing business as

Tax ID family

Awa Adolescent Wellness Academy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, FL
  • NPI 1225884091
  NPD tax ID
• Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Coconut Creek, FL
  • NPI 1558289827
  NPD tax ID
• Principles Recovery Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Davie, FL
  • NPI 1912872185
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Fortunato De Filippo

  • Psychiatry Physician
  • Hollywood, FL
  • NPI 1346223658
  NPD (past)
• Wendi Beth Rabucha, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1700972254
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1639566409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 S STATE ROAD 7 STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 S STATE ROAD 7 STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144009",
            "telephone_number": "954-368-1344",
            "fax_number": "954-368-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLES RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "561-816-9023"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AWA: ADOLESCENT WELLNESS ACADEMY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Medical Physicians, LLC
• Principles Recovery Center LLC
• Patricia Alejandra Prinz
• Priority Healthcare Services LLC
• Prism Chiropractic and Wellness Center, L.L.C.
• Pro Med Management Group LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Davie, FL
• Providers in Davie, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.