NPIMap

Organization Active NPI

Emerge Recovery Wellness

  • Primary Care Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1740720234
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMERGE RECOVERY WELLNESS
Doing business as
Emerge Recovery Associates
Practice address
1280 N Congress Ave
Suite 108
West Palm Beach, FL 33409-6377
Phone
(561) 228-1598
NPI assigned
Mar 2, 2017
Organization subpart
Yes
Parent organization
EMERGE RECOVERY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Gwen Phillips, M.A., MCAP
Title
Ceo
Phone
(561) 228-1598

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1280 N Congress Ave
Suite 108
West Palm Beach, FL 33409-6377

Mailing address

1280 N Congress Ave
Suite 108
West Palm Beach, FL 33409-6377
Phone (561) 228-1598

Other names 1

  • Emerge Recovery Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emerge Recovery Wellness2 organizations share this tax ID, including this one
Part of
Emerge Recovery Wellness

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1740720234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N CONGRESS AVE",
            "address_2": "SUITE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096377",
            "telephone_number": "561-228-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N CONGRESS AVE",
            "address_2": "SUITE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096377",
            "telephone_number": "561-228-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE RECOVERY WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERGE RECOVERY ASSOCIATES",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-228-1598",
        "authorized_official_credential": "M.A., MCAP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerge Recovery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.