Organization Active NPI

The Community, LLC

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1679928600
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2236 Issued in FL
Legal business name
THE COMMUNITY, LLC
Practice address
201 NE 2ND St
Fort Lauderdale, FL 33301-1037
Phone
(954) 533-9818
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Ms. Judith L Bloom, MSW, LMFT
Title
Ceo
Phone
(954) 533-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X MT2236 FL Primary

Addresses

Primary practice location

201 NE 2ND St
Fort Lauderdale, FL 33301-1037

Mailing address

1217 NE 3Rd St
Fort Lauderdale, FL 33301-1743
Phone (954) 533-9818

Other identifiers 1

IdentifierTypeStateIssuer
MT2236OtherFLSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
The Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 NE 2nd St
Fort Lauderdale, FL 33301
Phone (954) 533-9818

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1679928600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 NE 3RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011743",
            "telephone_number": "954-533-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011037",
            "telephone_number": "954-533-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-533-9818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MT2236",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.