Organization Active NPI

Therapeutic Oasis of the Treasure Coast LLC

  • Clinical Psychologist
  • Jupiter, FL
National Provider Identifier
1821630302
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THERAPEUTIC OASIS OF THE TREASURE COAST LLC
Practice address
600 Heritage Dr Ste 130
Jupiter, FL 33458-5288
Phone
(561) 278-6033
Fax
(561) 278-6023
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Christie Caggiani, RD
Title
Owner
Phone
(561) 278-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

600 Heritage Dr Ste 130
Jupiter, FL 33458-5288

Mailing address

600 Heritage Dr Ste 130
Jupiter, FL 33458-5288
Phone (561) 278-6033

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jupiter Other

National Provider Directory

National Provider Directory

Locations

600 Heritage Dr
Ste 130
Jupiter, FL 33458
Phone (561) 278-6033

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1821630302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 130",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585288",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 130",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585288",
            "telephone_number": "561-278-6033",
            "fax_number": "561-278-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC OASIS OF THE TREASURE COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "CAGGIANI",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-278-6033",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jupiter",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Jupiter",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jupiter",
            "address_1": "600 Heritage Dr Ste 130",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334585288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.