Organization Active NPI

The Haven

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1861750663
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 3398 Issued in FL
Legal business name
THE HAVEN
Practice address
21441 Boca Rio Rd
Boca Raton, FL 33433-2604
Phone
(561) 483-0962
Fax
(561) 487-8007
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Mr. Don Stewart
Title
Ceo
Phone
(561) 483-0962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW 3398 FL Primary

Addresses

Primary practice location

21441 Boca Rio Rd
Boca Raton, FL 33433-2604

Mailing address

21441 Boca Rio Rd
Boca Raton, FL 33433-2604
Phone (561) 483-0962

Other identifiers 1

IdentifierTypeStateIssuer
763932500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
The Haven2 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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1861750663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21441 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332604",
            "telephone_number": "561-483-0962",
            "fax_number": "561-487-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21441 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332604",
            "telephone_number": "561-483-0962",
            "fax_number": "561-487-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-483-0962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763932500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.