Organization Active NPI

Spectrum Recovery Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1700247400
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SPECTRUM RECOVERY SERVICES, LLC
Practice address
100 Village Square Xing
Suite 202
Palm Beach Gardens, FL 33410-4545
Phone
(561) 530-3749
NPI assigned
Mar 9, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Robert Justin Frein Jr.
Title
Ceo
Phone
(561) 530-3749

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 5001 FL

Addresses

Primary practice location

100 Village Square Xing
Suite 202
Palm Beach Gardens, FL 33410-4545

Mailing address

100 Village Square Xing
Suite 202
Palm Beach Gardens, FL 33410-4545
Phone (561) 530-3749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700247400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-530-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE SQUARE XING",
            "address_2": "SUITE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104545",
            "telephone_number": "561-530-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-530-3749",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.