Active NPI
Origins Behavioral Healthcare of Florida, LLC
- Psychiatric Residential Treatment Facility
- West Palm Beach, FL
National Provider Identifier
1659014140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- ORIGINS BEHAVIORAL HEALTHCARE OF FLORIDA, LLC
- Practice address
- 5200 East Ave
West Palm Beach, FL 33407-2374 - Phone
- (561) 841-1142
- NPI assigned
- Apr 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Lee
- Title
- Chief Operating Officer
- Phone
- (561) 841-1003
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
5200 East Ave
West Palm Beach, FL 33407-2374
Mailing address
933 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 841-1003
National Provider Directory
National Provider Directory- Tax ID family
- Origins Behavioral Healthcare of Florida LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- West Palm Beach, FL
- NPI 1487050068
-
- Substance Abuse Rehabilitation Facility
- West Palm Beach, FL
- NPI 1730637810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1659014140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 45TH ST",
"city": "MANGONIA PARK",
"state": "FL",
"postal_code": "334072413",
"telephone_number": "561-841-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 EAST AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072374",
"telephone_number": "561-841-1142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORIGINS BEHAVIORAL HEALTHCARE OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-14",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "561-841-1003"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 2, 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.