Organization Active NPI

Psychiatric and Therapeutic Care of Florida

  • Substance Abuse Rehabilitation Facility
  • Lighthouse Point, FL
National Provider Identifier
1669631594
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
ME55819 Issued in FL
Legal business name
PSYCHIATRIC AND THERAPEUTIC CARE OF FLORIDA
Practice address
5340 N Federal Hwy
Lighthouse Point, FL 33064-7058
Phone
(954) 587-7771
Fax
(954) 727-9864
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Evan Zimmer, MD
Title
Medical Director
Phone
(954) 587-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X ME55819 FL Primary

Addresses

Primary practice location

5340 N Federal Hwy
Lighthouse Point, FL 33064-7058

Mailing address

PO Box 7175
Ft Lauderdale, FL 33338-7175
Phone (954) 587-7771

National Provider Directory

National Provider Directory

Locations

5340 N Federal Hwy
Lighthouse Point, FL 33064
Phone (954) 428-2480

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1669631594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7175",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333387175",
            "telephone_number": "954-587-7771",
            "fax_number": "954-727-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-587-7771",
            "fax_number": "954-727-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC AND THERAPEUTIC CARE OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-587-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "ME55819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.