Active NPI
C. L Medical Associates Inc.
- Addiction (Substance Use Disorder) Counselor
- Delray Beach, FL
National Provider Identifier
1689640369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- C. L MEDICAL ASSOCIATES INC.
- Practice address
- 200 Congress Park Dr
Suite 100
Delray Beach, FL 33445-4609 - Phone
- (561) 361-6608
- Fax
- (561) 361-9857
- NPI assigned
- Feb 23, 2006
- 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
- Patrick S Kirse, CPA
- Title
- Chief Financial Officer
- Phone
- (561) 361-6608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
200 Congress Park Dr
Suite 100
Delray Beach, FL 33445-4609
Mailing address
200 Congress Park Dr
Suite 100
Delray Beach, FL 33445-4609
Phone (561) 361-6608
Other names 1
- CLEAR LAKE MEDICAL ASSOCIATES INC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1689640369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CONGRESS PARK DR",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334454609",
"telephone_number": "561-361-6608",
"fax_number": "561-361-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CONGRESS PARK DR",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334454609",
"telephone_number": "561-361-6608",
"fax_number": "561-361-9857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C. L MEDICAL ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "KIRSE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "561-361-6608",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CLEAR LAKE MEDICAL ASSOCIATES INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.