NPIMap

Organization Active NPI

Richard Whittemore PA

Doing business as Banyan Group

  • Mental Health Counselor
  • Lake Worth, FL
National Provider Identifier
1831295559
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW001957 Issued in FL
Legal business name
RICHARD WHITTEMORE PA
Doing business as
Banyan Group
Practice address
3898 Via Poinciana
Suite 13
Lake Worth, FL 33467-2951
Phone
(561) 967-2566
Fax
(561) 967-4556
NPI assigned
Sep 16, 2006
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Mr. Richerd Whittemore, LCSWNPI 1679778575
Title
Executive Director
Phone
(561) 967-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X SW001957 FL Primary

Addresses

Primary practice location

3898 Via Poinciana
Suite 13
Lake Worth, FL 33467-2951

Mailing address

3898 Via Poinciana
Suite 13
Lake Worth, FL 33467-2951
Phone (561) 967-2566

Other names 1

  • Banyan Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1831295559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE 13",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-967-2566",
            "fax_number": "561-967-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE 13",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-967-2566",
            "fax_number": "561-967-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD WHITTEMORE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "WHITTEMORE",
        "authorized_official_first_name": "RICHERD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-967-2566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW001957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banyan Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.