Reachlink Telebehavioral Health Services PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA

Doing business as

ReachLink

Practice address

3651 Fau Blvd Ste 400
Boca Raton, FL 33431-6489

Phone

(833) 732-2489

Fax

(833) 273-2242

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Tamara Petrelli, LCSW

Title

President

Phone

(833) 732-2489

Specialties & licenses 3

Addresses

Other names 3

• ReachLink Doing business as
• REACHLINK TELEBEHAVIORAL HEALTH SERVICES PC Former legal business name
• REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA Other name

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1861032138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 FAU BLVD STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316489",
            "telephone_number": "833-732-2489",
            "fax_number": "833-273-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 FAU BLVD STE 400",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316489",
            "telephone_number": "833-732-2489",
            "fax_number": "833-273-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "PETRELLI",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-732-2489",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReachLink",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REACHLINK TELEBEHAVIORAL HEALTH SERVICES PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.