Active NPI
East Coast Drug Testing, LLC.
- Group Psychotherapy Psychologist
- West Palm Beach, FL
National Provider Identifier
1760829311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- EAST COAST DRUG TESTING, LLC.
- Practice address
- 224 Datura St
Suite 402
West Palm Beach, FL 33401-5624 - Phone
- (561) 408-3929
- NPI assigned
- May 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keren Roesser
- Title
- Owner
- Phone
- (561) 408-3929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
224 Datura St
Suite 402
West Palm Beach, FL 33401-5624
Mailing address
159 Northampton H
West Palm Beach, FL 33417-1744
National Provider Directory
National Provider DirectoryLocations
224 Datura St
Ste 402
West Palm Beach, FL 33401
Phone (561) 408-3929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1760829311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 NORTHAMPTON H",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334171744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 DATURA ST",
"address_2": "SUITE 402",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015624",
"telephone_number": "561-408-3929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST COAST DRUG TESTING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "ROESSER",
"authorized_official_first_name": "KEREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-408-3929"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.