Organization Active NPI

Jeri Hosick, PH.D., LMHC, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Palm Beach, FL
National Provider Identifier
1952660102
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH 2784 Issued in FL
Legal business name
JERI HOSICK, PH.D., LMHC, P.A.
Practice address
1402 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1691
Phone
(561) 792-7755
Fax
(561) 792-0399
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mrs. Jeri Hosick, PH.D., LMHCNPI 1871631994
Title
President, VP, S, T
Phone
(561) 795-6296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH 2784 FL Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411-1691

Mailing address

PO Box 210746
West Palm Beach, FL 33421-0746
Phone (561) 795-6296

Other identifiers 1

IdentifierTypeStateIssuer
MH 0002784OtherFLSTATE OF FLORIDA

National Provider Directory

National Provider Directory

Locations

1402 Royal Palm Beach Blvd
Royal Palm Beach, FL 33411
Phone (561) 792-7755

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1952660102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210746",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334210746",
            "telephone_number": "561-795-6296",
            "fax_number": "561-792-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-792-7755",
            "fax_number": "561-792-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERI HOSICK, PH.D., LMHC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HOSICK",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "PRESIDENT, VP, S, T",
        "authorized_official_telephone_number": "561-795-6296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "MH 2784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "MH 0002784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.