Organization Active NPI

Emerge Recovery Associates LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1932567930
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMERGE RECOVERY ASSOCIATES LLC
Practice address
1280 N Congress Ave
108
West Palm Beach, FL 33409-6377
Phone
(561) 228-1598
Fax
(844) 715-4884
NPI assigned
Feb 4, 2016
Last updated
Mar 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Gwendolyn PhillipsNPI 1730411638
Title
Ceo
Phone
(561) 228-1598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X FL Primary

Addresses

Primary practice location

1280 N Congress Ave
108
West Palm Beach, FL 33409-6377

Mailing address

1280 N Congress Ave
108
West Palm Beach, FL 33409-6377
Phone (561) 228-1598

National Provider Directory

National Provider Directory
Tax ID family
Emerge Recovery Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1932567930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N CONGRESS AVE",
            "address_2": "108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096377",
            "telephone_number": "561-228-1598",
            "fax_number": "844-715-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N CONGRESS AVE",
            "address_2": "108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096377",
            "telephone_number": "561-228-1598",
            "fax_number": "844-715-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE RECOVERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-228-1598"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2017; 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.