Organization Active NPI

M.a.T. of the Palm Beaches LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Palm Beach, FL
National Provider Identifier
1982268058
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
M.A.T. OF THE PALM BEACHES LLC
Doing business as
M.a.T. of the Palm Beaches LLC
Practice address
321 Northlake Blvd Ste 116
North Palm Beach, FL 33408-5410
Phone
(561) 779-6619
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Jared Andia
Title
Owner
Phone
(561) 779-6619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

321 Northlake Blvd Ste 116
North Palm Beach, FL 33408-5410

Mailing address

321 Northlake Blvd Ste 116
North Palm Beach, FL 33408-5410
Phone (561) 779-6619

Other names 1

  • M.A.T. OF THE PALM BEACHES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

321 Northlake Blvd
Ste 116
North Palm Beach, FL 33408
Phone (561) 779-6619

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1982268058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD STE 116",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085410",
            "telephone_number": "561-779-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD STE 116",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085410",
            "telephone_number": "561-779-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.T. OF THE PALM BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDIA",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-779-6619"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.A.T. OF THE PALM BEACHES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.