Organization Active NPI

Trilogy Treatment and Wellness Center Inc.

  • Health Service Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1891160719
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
12380 Issued in FL
Legal business name
TRILOGY TREATMENT AND WELLNESS CENTER INC.
Practice address
6555 NW 9TH Ave
Suite 112
Fort Lauderdale, FL 33309-2067
Phone
(954) 771-2091
Fax
(954) 771-2098
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Benjamin Brafman, LMHC, CAP
Title
Ceo
Phone
(954) 771-2091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 12380 FL Primary

Addresses

Primary practice location

6555 NW 9TH Ave
Suite 112
Fort Lauderdale, FL 33309-2067

Mailing address

6555 NW 9TH Ave.
Suite 112
Fort Lauderdale, FL 33309
Phone (954) 771-2091

Other identifiers 1

IdentifierTypeStateIssuer
HCC12380OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1891160719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE.",
            "address_2": "SUITE 112",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-771-2091",
            "fax_number": "954-771-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 9TH AVE",
            "address_2": "SUITE 112",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092067",
            "telephone_number": "954-771-2091",
            "fax_number": "954-771-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY TREATMENT AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "BRAFMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-771-2091",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "12380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC12380",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.