NPIMap

Organization Active NPI

Lisa Cicetti Psy.D., LMHC Inc.

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
National Provider Identifier
1699044354
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LISA CICETTI PSY.D., LMHC INC.
Practice address
1101 N Congress Ave Ste 208
Boynton Beach, FL 33426-3336
Phone
(561) 734-6118
Fax
(561) 369-3275
NPI assigned
Dec 23, 2011
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Lisa Cicetti, PSY.D.NPI 1316102114
Title
Ceo
Phone
(561) 734-6118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1101 N Congress Ave Ste 208
Boynton Beach, FL 33426-3336

Mailing address

1101 N Congress Ave Ste 208
Boynton Beach, FL 33426-3336
Phone (561) 734-6118

National Provider Directory

National Provider Directory
Tax ID family
Lisa Cicetti PSYD LMHC Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1101 N Congress Ave
Ste 208
Boynton Beach, FL 33426
Phone (561) 734-6118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1699044354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CONGRESS AVE STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263336",
            "telephone_number": "561-734-6118",
            "fax_number": "561-369-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CONGRESS AVE STE 208",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263336",
            "telephone_number": "561-734-6118",
            "fax_number": "561-369-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CICETTI PSY.D., LMHC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "CICETTI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-734-6118",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "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 Feb 4, 2014; 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.