Active NPI
Jade House Management LLC
- Psychiatry Physician
- West Palm Beach, FL
National Provider Identifier
1962321679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Jade House Management
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- West Palm Beach, FL
- NPI 1639045974
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.
-
- Psychiatry Physician
- West Palm Beach, FL
- NPI 1639045974
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.