Physicians Group of the Palm Beach, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PHYSICIANS GROUP OF THE PALM BEACH, LLC

Practice address

701 Old Dixie Hwy
Tequesta, FL 33469-2493

Phone

(561) 935-5795

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Valerie Jackson

Title

Ceo

Phone

(561) 935-4227

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1700276201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HWY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692493",
            "telephone_number": "561-935-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HWY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692493",
            "telephone_number": "561-935-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS GROUP OF THE PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-935-4227"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicent Rafael Ortiz, DC
• Ozark Rehab Centers Inc
• Park Shoes, Inc. (Village Bootery)
• Sejal Patel, PHARMD
• Lindsey Patterson, M.D.
• Aubree Anne Pignato, RN, MS, ARNP, FNP-BC
• Laura Pigott
• Carlene Pizzarelli
• Poiesis Medical LLC
• Nancy Polites, L.C.S.W.

• Group Psychotherapy Psychologist in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.