Organization Active NPI

Developmental Intervention Specialists

  • Community/Behavioral Health Agency
  • Boynton Beach, FL
National Provider Identifier
1992133698
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVELOPMENTAL INTERVENTION SPECIALISTS
Practice address
1779 N Congress Ave # 336
Boynton Beach, FL 33426-8205
Phone
(800) 686-5614
Fax
(561) 736-5800
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Graciele Gadams, B.A
Title
Behavior Therapist
Phone
(800) 686-5614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1779 N Congress Ave # 336
Boynton Beach, FL 33426-8205

Mailing address

1779 N Congress Ave # 336
Boynton Beach, FL 33426-8205
Phone (800) 686-5614

National Provider Directory

National Provider Directory

Locations

1779 N Congress Ave
#336
Boynton Beach, FL 33426
Phone (561) 543-0417

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1992133698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N CONGRESS AVE # 336",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268205",
            "telephone_number": "800-686-5614",
            "fax_number": "561-736-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N CONGRESS AVE # 336",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268205",
            "telephone_number": "800-686-5614",
            "fax_number": "561-736-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL INTERVENTION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "GADAMS",
        "authorized_official_first_name": "GRACIELE",
        "authorized_official_title_or_position": "BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "800-686-5614",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.