Individual provider Active NPI

Patricia Jeane Temes, PH.D., LCSW-QS

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1649661323
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 12378 Issued in FL
Practice address
1375 Gateway Blvd
Boynton Beach, FL 33426-8304
Phone
(561) 420-1698
Fax
(954) 703-2029
NPI assigned
Feb 17, 2015
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW12378 FL
Clinical Social Worker 1041C0700X SW 12378 FL Primary

Addresses

Primary practice location

1375 Gateway Blvd
Boynton Beach, FL 33426-8304

Mailing address

1375 Gateway Blvd
Boynton Beach, FL 33426-8304
Phone (954) 667-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SW 12378FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Purpose Counseling and Consulting, LLC Mental Health Current Accepting new patients

Locations

1375 Gateway Blvd
Boynton Beach, FL 33426
Phone (561) 206-4640

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1649661323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "954-667-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 GATEWAY BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268304",
            "telephone_number": "561-420-1698",
            "fax_number": "954-703-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMES",
        "first_name": "PATRICIA",
        "middle_name": "JEANE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW-QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW12378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.