Active NPI
M.a.T. of the Palm Beaches LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- North Palm Beach, FL
National Provider Identifier
1982268058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Yi Duan Low, PMHNP-BC
- Kara Ashley Lozano, BSN, RN, IBCLC
- Luxury Alcohol and Drug Rehab LLC (Seaside of the Palm Beaches)
- Stephanie Florence Lynch, LCSW
- Margarita L. Lyons, PA-C
- Eric Malz, PMHNP-BC
- Lauree D Manning, M.D.
- Elizabeth Anne Manresa
- Merium Mehjabeen Mansoor Karim
- Marc a. Weinberg, D.C., P.a.
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.