Palm Beach Addiction Center, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PALM BEACH ADDICTION CENTER, INC

Practice address

4196 Lake Worth Road
Lake Worth, FL 33461

Phone

(561) 234-7763

Fax

(561) 828-8380

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Kerri Merrick

Title

Ceo/Owner

Phone

(585) 766-3351

Specialties & licenses 1

Addresses

Tax ID family

Palm Beach Addiction Center Inc2 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.

• Palm Beach Addiction Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lake Worth, FL
  • NPI 1245784610
  NPD tax ID

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982155842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 NW 39TH AVENUE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33066",
            "telephone_number": "561-234-7763",
            "fax_number": "561-828-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4196 LAKE WORTH ROAD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-234-7763",
            "fax_number": "561-828-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ADDICTION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MERRICK",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "585-766-3351"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawahar Palaniappan, MD
• Kellie Ann Palermo, DPT
• Palm Beach Accident & Injury Center
• Palm Beach Acupuncture LLC
• Palm Beach Addiction Center LLC
• Palm Beach Chiropractic & Rehabilitation Inc
• Palm Beach Dialysis Center LLC
• Palm Beach Eye Center Inc
• Palm Beach Habilitation Center, Inc.
• Palm Beach Hearing Associates, PLLC

• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.