NPIMap

Organization Active NPI

PB Institutepartnerslimited Partnership

Doing business as The Palm Beach Institute

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1912050659
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0950AD769803 Issued in FL
Legal business name
PB INSTITUTEPARTNERSLIMITED PARTNERSHIP
Doing business as
The Palm Beach Institute
Practice address
1017 N Olive Ave
West Palm Beach, FL 33401-3511
Phone
(561) 833-7553
Fax
(561) 655-5327
NPI assigned
Jan 18, 2007
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mr. Mark C Blackburn
Title
Coo
Phone
(561) 868-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0950AD769803 FL Primary

Addresses

Primary practice location

1017 N Olive Ave
West Palm Beach, FL 33401-3511

Mailing address

1017 N Olive Ave
West Palm Beach, FL 33401-3511
Phone (561) 833-7553

Other names 1

  • The Palm Beach Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PB Institute Partners Limited Partnership5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1017 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 222-1719

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1912050659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013511",
            "telephone_number": "561-833-7553",
            "fax_number": "561-655-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013511",
            "telephone_number": "561-833-7553",
            "fax_number": "561-655-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB INSTITUTEPARTNERSLIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-868-1608",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0950AD769803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palm Beach Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.