Organization Active NPI

Jade House Management LLC

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1962321679
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JADE HOUSE MANAGEMENT LLC
Practice address
5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone
(561) 821-7232
NPI assigned
Jul 15, 2026
Organization subpart
Yes
Parent organization
JADE HOUSE MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
John Visciano, CAC
Title
Ceo
Phone
(917) 960-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5205 Village Blvd
West Palm Beach, FL 33407-7907

Mailing address

5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone (561) 821-7232

Other names 1

  • Jade House Psychiatry Other name

National Provider Directory

National Provider Directory
Tax ID family
Jade House Management2 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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1962321679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334077907",
            "telephone_number": "561-821-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 VILLAGE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334077907",
            "telephone_number": "561-821-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE HOUSE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JADE HOUSE MANAGEMENT LLC",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "VISCIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-960-1508",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade House Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 29, 2026; 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.