Individual provider Active NPI

Mark R. Kruntorad

  • Marriage & Family Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1992934707
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT1448 Issued in FL
Practice address
2700 Pga Blvd
Suite #101
Palm Beach Gardens, FL 33410-2958
Phone
(561) 799-6600
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT1448 FL Primary

Addresses

Primary practice location

2700 Pga Blvd
Suite #101
Palm Beach Gardens, FL 33410-2958

Mailing address

2700 Pga Blvd
Suite #101
Palm Beach Gardens, FL 33410-2958
Phone (561) 799-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT1448FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1992934707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 PGA BLVD",
            "address_2": "SUITE #101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102958",
            "telephone_number": "561-799-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PGA BLVD",
            "address_2": "SUITE #101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102958",
            "telephone_number": "561-799-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUNTORAD",
        "first_name": "MARK",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.