Psychotherapy Specialists of the Palm Beaches LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PSYCHOTHERAPY SPECIALISTS OF THE PALM BEACHES LLC

Practice address

101 Plaza Real S Ste 226
Boca Raton, FL 33432-4865

Phone

(531) 313-5735

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Ingenito

Title

Credentialing

Phone

(570) 352-3063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1770058893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAZA REAL S STE 226",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324865",
            "telephone_number": "531-313-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA REAL S STE 226",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324865",
            "telephone_number": "531-313-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SPECIALISTS OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "INGENITO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "570-352-3063"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.