NPIMap

Organization Active NPI

Palm Beach Drug Testing, LLC.

  • Methadone Clinic
  • West Palm Beach, FL
National Provider Identifier
1801306196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PALM BEACH DRUG TESTING, LLC.
Practice address
2809 Poinsettia Ave
West Palm Beach, FL 33407-5426
Phone
(561) 469-9934
Fax
(888) 972-4983
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Keren Roesser, LMHC CAP SAP CRC
Title
Ceo MNG MBR
Phone
(561) 469-9934

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Methadone Clinic 261QM2800X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

2809 Poinsettia Ave
West Palm Beach, FL 33407-5426

Mailing address

2809 Poinsettia Ave
West Palm Beach, FL 33407-5426
Phone (561) 469-9934

Other names 1

  • Relax Mental Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Drug Testing LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801306196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934",
            "fax_number": "888-972-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934",
            "fax_number": "888-972-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH DRUG TESTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROESSER",
        "authorized_official_first_name": "KEREN",
        "authorized_official_title_or_position": "CEO  MNG MBR",
        "authorized_official_telephone_number": "561-469-9934",
        "authorized_official_credential": "LMHC CAP SAP CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Mental Health Care",
            "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 Jul 21, 2022; 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.