Authentic Self Psychotherapeutic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY9755 Issued in FL

Legal business name

AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES

Practice address

1920 Palm Beach Lakes Blvd Ste 206
West Palm Beach, FL 33409-3506

Phone

(561) 207-7702

Fax

(561) 207-7702

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jasset Smith, PSY.D.NPI 1033651286

Title

Licensed Psychologist

Phone

(954) 445-2181

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jasset Smith, PSY.D., LMHC

  • Psychologist
  • Coral Springs, FL
  • NPI 1033651286
  NPD (past) Authorized official
• Vinia Valmy Estivens, MS

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1134659840
  NPD (past)

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1982129821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093506",
            "telephone_number": "561-207-7702",
            "fax_number": "561-207-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASSET",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-445-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY9755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Boyd Aull, D.O.
• Amanda H Aumiller, AP
• Aura Health Solutions
• Ausome Kulture Behavioral, LLC
• Caitlin Austin, MS RMHCI
• Autism Project of Palm Beach County
• Autregoce Services LLC
• Ava'S Non-Medical Home Healthcare
• Stephen V Avallone, M.D.
• Maria Isabel Avalos Alamo

• All providers in West Palm Beach, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.