Active NPI
Diverse Treatment Solutions LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Boynton Beach, FL
National Provider Identifier
1669802385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- DIVERSE TREATMENT SOLUTIONS LLC
- Practice address
- 415 S Federal Hwy
Boynton Beach, FL 33435-4931 - Phone
- (561) 350-3888
- Fax
- (561) 509-0015
- NPI assigned
- Nov 15, 2013
- 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
- Matthew Fanali
- Title
- Clinical Director
- Phone
- (561) 596-1602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
415 S Federal Hwy
Boynton Beach, FL 33435-4931
Mailing address
19495 Biscayne Blvd
403
Aventura, FL 33180-2318
Phone (561) 350-3888
National Provider Directory
National Provider DirectoryLocations
19495 Biscayne Blvd
Ste 403
Aventura, FL 33180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384473600000",
"number": "1669802385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19495 BISCAYNE BLVD",
"address_2": "403",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331802318",
"telephone_number": "561-350-3888",
"fax_number": "561-509-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S FEDERAL HWY",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334354931",
"telephone_number": "561-350-3888",
"fax_number": "561-509-0015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSE TREATMENT SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A",
"authorized_official_last_name": "FANALI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "561-596-1602"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"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 Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.