Active NPI
Fritz Jean-Noel, MD
- Psychiatry Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME131315
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12617 | AR | MD | Psychiatry Physician |
| ME131315 | FL | MD | Psychiatry Physician |
| 01082874A | IN | MD | Psychiatry Physician |
| 2019040260 | MO | MD | Psychiatry Physician |
| 35.137424 | OH | MD | Psychiatry Physician |
| 0101266545 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Recovery and Wellness Center LLC | Current | 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.
-
dba Bayside Recoery and Wellness Center LLC
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1134775976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.