Organization Active NPI

Katie Skopp

  • Adult Mental Health Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1669707204
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
SW6411 Issued in FL
Legal business name
KATIE SKOPP
Practice address
2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335
Phone
(954) 729-7477
Fax
(561) 799-5000
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Katie R Skopp, MSWNPI 1982708350
Title
Owner
Phone
(954) 796-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X SW6411 FL Primary

Addresses

Primary practice location

2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335

Mailing address

2560 Rca Blvd Ste 105
Palm Beach Gardens, FL 33410-3335
Phone (954) 729-7477

National Provider Directory

National Provider Directory

Locations

2560 Rca Blvd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 799-5000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1669707204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "954-729-7477",
            "fax_number": "561-799-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103335",
            "telephone_number": "954-729-7477",
            "fax_number": "561-799-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE SKOPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "SKOPP",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-796-7477",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.