Palm Beach Outpatient Detox, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PALM BEACH OUTPATIENT DETOX, LLC

Practice address

7251 W Palmetto Park Rd
Suite 204
Boca Raton, FL 33433-3487

Phone

(561) 901-0040

NPI assigned

Jul 19, 2010

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Scanlan

Title

Ceo

Phone

(561) 901-0040

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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.

• Steve Ross Scanlan, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1093916868
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1972816965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 W PALMETTO PARK RD",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333487",
            "telephone_number": "561-901-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W PALMETTO PARK RD",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333487",
            "telephone_number": "561-901-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH OUTPATIENT DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "SCANLAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-901-0040"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.