Organization Active NPI

Diverse Treatment Solutions LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1669802385
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Nov 15, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.