Organization Active NPI

Atlantis Integrative Medicine and Psychiatry Wellness Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indian Harbour Beach, FL
National Provider Identifier
1720764020
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ATLANTIS INTEGRATIVE MEDICINE AND PSYCHIATRY WELLNESS CENTER PLLC
Practice address
2194 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-4931
Phone
(833) 867-2329
Fax
(833) 867-3757
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Ms. Thi Hoang
Title
Business Office Advocate
Phone
(702) 205-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2194 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-4931

Mailing address

2194 Highway A1A Ste 203
Indian Harbour Beach, FL 32937-4931
Phone (833) 867-2329

National Provider Directory

National Provider Directory

Locations

2194 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 610-8939

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1720764020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374931",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 203",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374931",
            "telephone_number": "833-867-2329",
            "fax_number": "833-867-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS INTEGRATIVE MEDICINE AND PSYCHIATRY WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "BUSINESS OFFICE ADVOCATE",
        "authorized_official_telephone_number": "702-205-8232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.