Individual provider Active NPI

Fritz Jean-Noel, MD

  • Psychiatry Physician
  • Boynton Beach, FL
National Provider Identifier
1881891943
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME131315 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Jun 29, 2007
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01082874A IN
Psychiatry Physician 2084P0800X E-12617 AR
Psychiatry Physician 2084P0800X 0101266545 VA
Psychiatry Physician 2084P0800X 35.137424 OH
Psychiatry Physician 2084P0800X 2019040260 MO
Psychiatry Physician 2084P0800X 51144 MN
Psychiatry Physician 2084P0800X ME131315 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723

Mailing address

1065 NE 125TH Street
Suite 300
North Miami, FL 33161-0001
Phone (888) 852-6672

Other practice location 1

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010

Other practice location 2

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone (954) 771-7743

Other practice location 3

1902 Braeburn Dr Ste 130
Salem, VA 24153-7304
Phone (540) 444-0460

Other practice location 4

1 ARH Lane
Suite 202B
Low Moor, VA 24457
Phone (540) 862-2021

Other practice location 5

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Other practice location 6

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811002507 FL Practitioner - Psychiatry 5799843603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12617ARMDPsychiatry Physician
ME131315FLMDPsychiatry Physician
01082874AINMDPsychiatry Physician
2019040260MOMDPsychiatry Physician
35.137424OHMDPsychiatry Physician
0101266545VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Recovery and Wellness Center LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1501 Robert J Conlan Blvd NE
Ste 7
Palm Bay, FL 32905
Phone (321) 372-6897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1881891943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH STREET",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331610001",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N PALM AVE STE 211",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-447-0010",
            "fax_number": "954-447-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "address_purpose": "LOCATION",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 Braeburn Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537304",
            "country_code": "US",
            "telephone_number": "540-444-0460",
            "fax_number": "540-444-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 ARH Lane",
            "address_2": "Suite 202B",
            "address_purpose": "LOCATION",
            "city": "Low Moor",
            "state": "VA",
            "postal_code": "24457",
            "country_code": "US",
            "telephone_number": "540-862-2021",
            "fax_number": "540-862-7284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125TH ST STE 206",
            "address_purpose": "LOCATION",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-NOEL",
        "first_name": "FRITZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01082874A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-12617",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101266545",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.137424",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2019040260",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "51144",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME131315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.