NPIMap

Organization Active NPI

Palm Beach Recovery LLC

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1639848534
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PALM BEACH RECOVERY LLC
Practice address
9350 Sunset Dr Ste 175
Miami, FL 33173-3292
Phone
(855) 465-8028
Fax
(954) 337-6238
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Michael Borkowski
Title
Cfo
Phone
(954) 487-1224

Specialties & licenses 1

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

Addresses

Primary practice location

9350 Sunset Dr Ste 175
Miami, FL 33173-3292

Mailing address

PO Box 715255
Cincinnati, OH 45271-5255
Phone (855) 465-8028

Other names 1

  • Family Recovery Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Recovery LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1639848534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715255",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452715255",
            "telephone_number": "855-465-8028",
            "fax_number": "954-337-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SUNSET DR STE 175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733292",
            "telephone_number": "855-465-8028",
            "fax_number": "954-337-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-487-1224"
    },
    "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": "Family Recovery Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.