Jason Ross Wellness Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH9487 Issued in FL

Legal business name

JASON ROSS WELLNESS INC.

Practice address

399 Camino Gardens Blvd Ste 307
Boca Raton, FL 33432-5828

Phone

(305) 609-3025

Fax

(305) 397-2503

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Eric Ross, LMHC

Title

President

Phone

(305) 609-3025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1902207525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325828",
            "telephone_number": "305-609-3025",
            "fax_number": "305-397-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CAMINO GARDENS BLVD STE 307",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325828",
            "telephone_number": "305-609-3025",
            "fax_number": "305-397-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON ROSS WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-609-3025",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.