Organization Active NPI

Childgarden LLC

  • Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1902490360
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILDGARDEN LLC
Practice address
1028 N Federal Hwy
Lake Worth, FL 33460-2352
Phone
(561) 909-8980
Fax
(561) 429-6889
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Maria T Vega Diaz, BCBA
Title
President
Phone
(786) 250-9854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1028 N Federal Hwy
Lake Worth, FL 33460-2352

Mailing address

1028 N Federal Hwy
Lake Worth, FL 33460-2352
Phone (561) 909-8980

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.childgardens.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Childgarden LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1902490360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352",
            "telephone_number": "561-909-8980",
            "fax_number": "561-429-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334602352",
            "telephone_number": "561-909-8980",
            "fax_number": "561-429-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDGARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "VEGA DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-250-9854",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.childgardens.com",
            "affiliation": "N",
            "endpointDescription": "Childgarden Behavioral Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 N Federal Hwy",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334601964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.