NPIMap

Organization Active NPI

Soma Medical Center, PA

Doing business as Soma WellHealth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Palm Beach, FL
National Provider Identifier
1750988176
Registry record updated Mar 15, 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
SOMA MEDICAL CENTER, PA
Doing business as
Soma WellHealth
Practice address
1402 Royal Palm Beach Blvd BLDG 100
Royal Palm Beach, FL 33411-1691
Phone
(561) 629-7897
Fax
(561) 323-4033
NPI assigned
Oct 8, 2020
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOMA MEDICAL CENTER, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Andres Florez
Title
Vice President
Phone
(561) 275-7110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd BLDG 100
Royal Palm Beach, FL 33411-1691

Mailing address

3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854
Phone (561) 275-7110

Other identifiers 1

IdentifierTypeStateIssuer
106486900MedicaidFL

Other names 1

  • Soma WellHealth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soma Medical Center PA9 organizations share this tax ID, including this one
Part of
Soma Medical Center PA

Other organizations with this tax ID 8

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

Locations

1301 N Federal Hwy
Lake Worth, FL 33460
Phone (561) 758-5016

1402 Royal Palm Beach Blvd
Ste 102
Royal Palm Beach, FL 33411
Phone (561) 246-3334

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 4

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1750988176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 FOREST HILL BLVD STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065854",
            "telephone_number": "561-275-7110",
            "fax_number": "561-275-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD BLDG 100",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-629-7897",
            "fax_number": "561-323-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA MEDICAL CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMA MEDICAL CENTER, PA",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-275-7110"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106486900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soma WellHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal 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 15, 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.