Active NPI
Comprehensive Care Clinic LLC
- Adult Mental Health Clinic/Center
- Lantana, FL
National Provider Identifier
1871018283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- COMPREHENSIVE CARE CLINIC LLC
- Practice address
- 720 S Dixie Hwy Ste 3
Lantana, FL 33462-4652 - Phone
- (561) 619-5858
- NPI assigned
- Aug 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Di Fiori
- Title
- Office Manager
- Phone
- (561) 619-5858
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
720 S Dixie Hwy Ste 3
Lantana, FL 33462-4652
Mailing address
720 S Dixie Hwy Ste 3
Lantana, FL 33462-4652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230418000628 | FL | Part B Supplier - Clinic/Group Practice | 3274908660 |
Receives reassigned benefits from 1 practitioner Practice locations: Lantana, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2148890 | Comprehensive Care Clinic LLC | Certificate of waiver | May 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
720 S Dixie Hwy
Ste 3
Lantana, FL 33462
Phone (561) 619-5856
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- West Palm Beach, FL
- NPI 1922380914
FL, General Practice
-
- Mental Health Counselor
- Lantana, FL
- NPI 1801406566
-
- Nurse Practitioner
- Fort Myers, FL
- NPI 1386833341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692316800000",
"number": "1871018283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S DIXIE HWY STE 3",
"city": "LANTANA",
"state": "FL",
"postal_code": "334624652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S DIXIE HWY STE 3",
"city": "LANTANA",
"state": "FL",
"postal_code": "334624652",
"telephone_number": "561-619-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-07",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A",
"authorized_official_last_name": "DI FIORI",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-619-5858"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.