Organization Active NPI

Mountaineer'S Therapeutic Center, Inc.

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1831609254
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MOUNTAINEER'S THERAPEUTIC CENTER, INC.
Practice address
1340 Kenwood Rd
West Palm Beach, FL 33401-7408
Phone
(561) 932-3938
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Nicole HunningsNPI 1568929354
Title
Bcba
Phone
(910) 366-5772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1340 Kenwood Rd
West Palm Beach, FL 33401-7408

Mailing address

1340 Kenwood Rd
West Palm Beach, FL 33401-7408

Other practice location 1

3650 Shawnee Ave
West Palm Beach, FL 33409-4937
Phone (772) 240-8494

National Provider Directory

National Provider Directory
Tax ID family
Mountaineer'S Therapeutic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3650 Shawnee Ave
West Palm Beach, FL 33409
Phone (772) 240-8494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1831609254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 KENWOOD RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 KENWOOD RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017408",
            "telephone_number": "561-932-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Shawnee Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334094937",
            "country_code": "US",
            "telephone_number": "772-240-8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAINEER'S THERAPEUTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HUNNINGS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "910-366-5772"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 20, 2020; 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.