Active NPI
Katie Skopp
- Adult Mental Health Clinic/Center
- Palm Beach Gardens, FL
National Provider Identifier
1669707204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- SW6411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie R Skopp, MSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Palm Beach Gardens, FL
- NPI 1982708350
-
- Prosthodontics
- Palm Beach Gardens, FL
- NPI 1164540407
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.