Boca Ri LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BOCA RI LLC

Doing business as

Banyan Boca

Practice address

1000 NW 15TH St
Boca Raton, FL 33486-1331

Phone

(302) 315-0002

Fax

(561) 409-4920

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

John Sory

Title

Ceo

Phone

(954) 533-7705

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Banyan Boca Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Boca Ri LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Boca Ri LLC

  dba Banyan Palm Beach

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, FL
  • NPI 1225954605
  NPD tax ID
• Boca Ri LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Springs, FL
  • NPI 1699627315
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

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

• Marie L Constant, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1235479098
  NPD (past)
• Megan Elizabeth Harrigan, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1336614353
  NPD (past)
• Morgan Rebecca Schulman, MSN, APRN, PMHNP-BC

  • Mental Health Counselor
  • Fort Lauderdale, FL
  • NPI 1508575366
  NPD (past)
• Paula Regina Williams, ARNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1821564576
  NPD (past)
• Bonnie J Konasek, CRNP

  • Nurse Practitioner
  • Harrisburg, PA
  • NPI 1023485034
  NPD (past)
• Kevin Ray, M.D.

  • Psychiatry Physician
  • Delaware, OH
  • NPI 1205147956
  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1932631827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624319",
            "telephone_number": "954-533-7705",
            "fax_number": "954-781-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 15TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861331",
            "telephone_number": "302-315-0002",
            "fax_number": "561-409-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SORY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-533-7705"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "FL",
            "license": "8678",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115085900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banyan Boca",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Banyan Boca",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.