Organization Active NPI

Therapeutic Innovative Passages Solutions

  • Community/Behavioral Health Agency
  • Aventura, FL
National Provider Identifier
1710344593
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW1114 Issued in FL
Legal business name
THERAPEUTIC INNOVATIVE PASSAGES SOLUTIONS
Practice address
2999 NE 191St St
703
Aventura, FL 33180-3123
Phone
(305) 931-5151
Fax
(305) 405-6171
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Mr. Edward Mark Driver, LCSW
Title
President & Ceo
Phone
(305) 338-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW1114 FL Primary

Addresses

Primary practice location

2999 NE 191St St
703
Aventura, FL 33180-3123

Mailing address

2030 S Ocean Dr
1911
Hallandale Beach, FL 33009-6649
Phone (305) 338-2363

National Provider Directory

National Provider Directory

Locations

2999 NE 191st St
Ste 703
Aventura, FL 33180
Phone (305) 931-5151

Practitioners & affiliated clinicians

Practitioners 3

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": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1710344593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S OCEAN DR",
            "address_2": "1911",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096649",
            "telephone_number": "305-338-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST",
            "address_2": "703",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803123",
            "telephone_number": "305-931-5151",
            "fax_number": "305-405-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INNOVATIVE PASSAGES SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "305-338-2363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.