Organization Active NPI

John Varsam Psychotherapy, LLC

Doing business as John Varsam Psychotherapy

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1982379244
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOHN VARSAM PSYCHOTHERAPY, LLC
Doing business as
John Varsam Psychotherapy
Practice address
4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195
Phone
(561) 600-8240
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
John Varsam, LCSW, IGCD, ICGC-IINPI 1063181386
Title
President
Phone
(561) 600-8240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195

Mailing address

4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195
Phone (561) 600-8240

Other names 1

  • John Varsam Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1982379244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315195",
            "telephone_number": "561-600-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315195",
            "telephone_number": "561-600-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN VARSAM PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "VARSAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-600-8240",
        "authorized_official_credential": "LCSW, IGCD, ICGC-II"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Varsam Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.