Recovery Team Behavioral Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RECOVERY TEAM BEHAVIORAL HEALTH

Practice address

509 Federal Hwy
Suite 101
Lake Park, FL 33403-3573

Phone

(561) 882-9821

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Kirill Vesselov

Title

Manager

Phone

(561) 818-9901

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1679052500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N FEDERAL HWY STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334033573",
            "telephone_number": "561-882-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033573",
            "telephone_number": "561-882-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY TEAM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-818-9901"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rtbh@unitedbilling.com",
            "affiliation": "N",
            "address_1": "509 Federal Hwy",
            "address_2": "Suite 101",
            "city": "Lake Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334033573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.