REVAMED CENTER FOR EMOTIONAL WELLBEING, LLC (NPI# 1093325243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093325243 |
| Entity Type | Organization |
| Organization Name | REVAMED CENTER FOR EMOTIONAL WELLBEING, LLC |
| Practice Address |
7000 W Palmetto Park Rd Ste 201 Boca Raton FL 33433-3430 |
| Mailing Address |
8140 Okeechobee Blvd Ste A&b West Palm Beach FL 33411-2003 |
| Practice Telephone | 5613912770 |
| Practice Fax Number | 5613912930 |
| Mailing Telephone | 5612934301 |
| Mailing Fax Number | 5612934301 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MELISSA STIELER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5614322164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
7000 W PALMETTO PARK RD STE 201 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33433-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830785 | Keith Marley Thompson | Behavior Technician | 6885 B-5 Sw 18th St., Boca Raton, FL 33433 | 2020-10-26 |
| 1467084921 | Jessica Lori Woytanowski | Speech-Language Pathologist | 21345 Powerline Rd, Boca Raton, FL 33433 | 2020-02-12 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1124667993 | Melanie Simon | Occupational Therapist | 21345 South Powerline Rd, Suite 100, Boca Raton, FL 33433 | 2019-12-27 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1982253076 | Monika La Nuez, Lcsw, LLC | Social Worker | 6919 Sw 18th Street, Suite 200-239, Boca Raton, FL 33433 | 2019-09-10 |
| 1336795731 | United Spectrum Center | Day Training, Developmentally Disabled Services | 3845 West Hillsboro Blvd, Deefield Beach, FL 33433 | 2019-08-13 |
| 1780147678 | Teleemc LLC | Clinic/Center | 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 | 2019-04-09 |
| 1619446283 | Meryl Zigila | Occupational Therapist | 6327 Via De Sunrisa Del Sur, Boca Raton, FL 33433 | 2018-11-13 |
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| Find all providers in zip 33433 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059552 | Nancy Vera | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 202, Boca Raton, FL 33428-1703 | 2019-05-29 |
| 1306338835 | Collaborative Physicians Group Inc. | Psychiatry & Neurology | 900 Glades Rd Ste 1a, Boca Raton, FL 33431-6405 | 2018-05-31 |
| 1427417971 | Stefan A. Pasternack, M.d. | Psychiatry & Neurology | 950 Peninsula Corp. Circle, #2004, Boca Raton, FL 33487-1386 | 2016-02-12 |
| 1386019081 | Md of South Florida, LLC. | Psychiatry & Neurology | 9733 Erica Ct, Boca Raton, FL 33496-1942 | 2015-12-07 |
| 1184067704 | Samantha Block Saltz | Psychiatry & Neurology | 101 Plaza Real S Ste 226, Boca Raton, FL 33432 | 2013-04-12 |
| 1144599242 | Cauvin Frett Psychiatry LLC | Psychiatry & Neurology | 8177 Glades Rd Ste 204, Boca Raton, FL 33434-4022 | 2011-12-19 |
| 1326296625 | Uma Choday Md Pa | Psychiatry & Neurology | 8177 Glades Rd Ste 201, Boca Raton, FL 33434-4022 | 2008-08-29 |
| 1073784690 | Donna Sue Holland | Psychiatry & Neurology | 4895 Regency Ct, Boca Raton, FL 33434-5328 | 2008-03-23 |
| 1942490016 | Richard Cannon Phelps | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2007-07-25 |
| 1114084613 | Uma Choday | Psychiatry & Neurology | 8177 West Glades Road, Suite 201, Boca Raton, FL 33434-4022 | 2007-01-03 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33433 |
Please comment or provide details below to improve the information on REVAMED CENTER FOR EMOTIONAL WELLBEING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.