Organization Active NPI

Phoenixtherapeutic Solutions, PA

  • Marriage & Family Therapist
  • Boca Raton, FL
National Provider Identifier
1922766450
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PHOENIXTHERAPEUTIC SOLUTIONS, PA
Practice address
2901 Clint Moore Rd Ste 2-1001
Boca Raton, FL 33496-2041
Phone
(954) 870-0475
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Veronica Hernandez
Title
Director of Billing
Phone
(954) 203-3584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2901 Clint Moore Rd Ste 2-1001
Boca Raton, FL 33496-2041

Mailing address

10385 Milburn LN
Boca Raton, FL 33498-4609
Phone (954) 870-0475

Other names 1

  • PhoenixTherapeutic Solutions, PA Former legal business name

National Provider Directory

National Provider Directory

Locations

2901 Clint Moore Rd
Ste 21001
Boca Raton, FL 33496
Phone (954) 870-0475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1922766450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10385 MILBURN LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984609",
            "telephone_number": "954-870-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CLINT MOORE RD STE 2-1001",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962041",
            "telephone_number": "954-870-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXTHERAPEUTIC SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhoenixTherapeutic Solutions, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.