Organization Active NPI

Mental Health Services Inc

  • Mental Health Counselor
  • Palm Beach Gardens, FL
National Provider Identifier
1841455334
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH-402 Issued in FL
Legal business name
MENTAL HEALTH SERVICES INC
Practice address
4360 Northlake Blvd
Suite 209
Palm Beach Gardens, FL 33410-6274
Phone
(561) 630-2747
Fax
(561) 630-2707
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Susan Lafehr Bollinger, PH.D.
Title
Clinical Director
Phone
(561) 630-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH-402 FL Primary

Addresses

Primary practice location

4360 Northlake Blvd
Suite 209
Palm Beach Gardens, FL 33410-6274

Mailing address

4360 Northlake Blvd
Suite 209
Palm Beach Gardens, FL 33410-6274
Phone (561) 630-2747

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1841455334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 NORTHLAKE BLVD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106274",
            "telephone_number": "561-630-2747",
            "fax_number": "561-630-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 NORTHLAKE BLVD",
            "address_2": "SUITE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106274",
            "telephone_number": "561-630-2747",
            "fax_number": "561-630-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LAFEHR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-630-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.