Palm Beach Mental Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME109468 Issued in FL

Legal business name

PALM BEACH MENTAL HEALTH

Practice address

1901 S Congress Ave Ste 300
Boynton Beach, FL 33426

Phone

(561) 330-4557

Fax

(561) 330-4558

NPI assigned

Sep 2, 2011

Last updated

Nov 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Raele, M.D.NPI 1689836660

Title

Owner/Physician

Phone

(561) 330-4557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Charles Alex Raele, M.D.

  • Psychiatry Physician
  • Boynton Beach, FL
  • NPI 1689836660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1811278898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 300",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266551",
            "telephone_number": "561-330-4557",
            "fax_number": "561-330-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 300",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-330-4557",
            "fax_number": "561-330-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 S Military Trl",
            "address_2": "Suite 102A",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334842610",
            "country_code": "US",
            "telephone_number": "561-330-4557",
            "fax_number": "561-330-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "RAELE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-330-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME109468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Beach Medical Weight Loss LLC
• Palm Beach Neuro and Wellness, LLC
• Palm Beach Pain Management Inc
• Palm Beach Pain Management Specialists Inc (Palm Beach Pain Management Specialists)
• Palm Beach Pediatric Urology
• Palm Beach Pediatrics, LLC (Bluebird Kids Health)

• Psychiatry Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.