Active NPI
Robert I. Yagoda, CAP
- Mental Health Counselor
- West Palm Beach, FL
National Provider Identifier
1821357872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5292
- Practice address
- 2200 North Florida Mango Rd
Suite 201
West Palm Beach, FL 33409 - Phone
- (561) 296-5288
- Fax
- (561) 296-5287
- NPI assigned
- May 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5292 | FL | Primary |
Addresses
Primary practice location
2200 North Florida Mango Rd
Suite 201
West Palm Beach, FL 33409
Mailing address
2200 North Florida Mango Rd
Suite 201
West Palm Beach, FL 33409
Phone (561) 296-5288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5292 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1821357872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NORTH FLORIDA MANGO RD",
"address_2": "SUITE 201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-296-5288",
"fax_number": "561-296-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NORTH FLORIDA MANGO RD",
"address_2": "SUITE 201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33409",
"telephone_number": "561-296-5288",
"fax_number": "561-296-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGODA",
"first_name": "ROBERT",
"middle_name": "I.",
"credential": "CAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "5292",
"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 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.