THE CLINIC, LLC (NPI# 1235452764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235452764 |
| Entity Type | Organization |
| Organization Name | THE CLINIC, LLC |
| Practice Address |
3370 Burns Rd Suite 103 Palm Beach Gardens FL 33410-4327 |
| Mailing Address |
319 September St Palm Beach Gardens FL 33410-1521 |
| Practice Telephone | 5616270772 |
| Practice Fax Number | 8882359876 |
| Mailing Telephone | 5616270772 |
| Mailing Fax Number | 8882359876 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | DR. JAVEDUL HAQUE II (OWNER) |
| Authorized Official Telephone | 5616270772 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME101767 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 1453G | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | THE CLINIC, LLC | 13409 Douglas Pkwy, Urbandale, IA 50323 |
| Washington State Corporations | THE CLINIC, LLC | 110 W 6th Ave, Ellensburg, WA 98926 |
| Street Address |
3370 BURNS RD SUITE 103 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629917 | Jeffrey H. Garelick, Md Pa | Internal Medicine | 3370 Burns Rd, Ste 104, Palm Beach Gardens, FL 33410-4327 | 2005-06-17 |
| 1992304216 | Unity Advanced Healthcare & Wellness, Pllc | Nurse Practitioner | 3370 Burns Rd, Palm Beach Gardens, FL 33410-4327 | 2020-10-19 |
| 1851776447 | Justine Nicole Summers | Nurse Practitioner | 3370 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4327 | 2015-07-23 |
| 1225436900 | Palm Beach Gardens Surgery, LLC | Surgery | 3370 Burns Rd, Suite 102, Palm Beach Gardens, FL 33410-4327 | 2014-12-12 |
| 1215375332 | Electrophysiology Consultants, Inc. | General Acute Care Hospital | 3370 Burns Rd, Suite 105, Palm Beach Gardens, FL 33410-4327 | 2013-06-11 |
| 1467727990 | Michael A Jacobs Md Pa | Urology | 3370 Burns Rd, Suite 101, Palm Beach Gardens, FL 33410-4327 | 2012-03-16 |
| 1033381280 | Bruce M Grossman M D P A | Internal Medicine | 3370 Burns Rd, 105, Palm Beach Gardens, FL 33410-4327 | 2008-03-27 |
| 1114116597 | Ramon Vazquez Jr Md Pa | Surgery | 3370 Burns Rd, Suite 102, Palm Beach Gardens, FL 33410-4327 | 2007-10-22 |
| 1326231747 | Luis S. Ulloa Mdpa | Internal Medicine | 3370 Burns Rd, Suite#105, Palm Beach Gardens, FL 33410-4327 | 2007-08-20 |
| 1851594832 | North Palm Neursurgery, Pl | Neurological Surgery | 3370 Burns Rd, #200, Palm Beach Gardens, FL 33410-4327 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1851947089 | Gardens Mental Health, LLC | Psychiatry & Neurology | 5100 Pga Blvd Ste 301, Palm Beach Gardens, FL 33418-3956 | 2019-08-13 |
| 1164741948 | Warren Schlanger | Psychiatry & Neurology | 276 Kelsey Park Cir, Palm Beach Gardens, FL 33410-3261 | 2010-05-19 |
| 1275657561 | Theodore E. Edis | Psychiatry & Neurology | 400 Eagleton Cove Way, Palm Beach Gardens, FL 33418-8456 | 2007-03-19 |
| 1265432744 | Philip Jay Scharfer | Psychiatry & Neurology | 2401 Pga Blvd, Ste 244, Palm Beach Gardens, FL 33410-3590 | 2005-07-27 |
| 1073516522 | Philippe Martineau | Psychiatry & Neurology | 4595 Northlake Blvd, Ste 116, Palm Beach Gardens, FL 33418-4647 | 2005-05-27 |
| 1598821845 | Cynthia L. Theiss | Psychiatry & Neurology | 5606 Pga Blvd, Suite 113, Palm Beach Gardens, FL 33418-4122 | 2006-12-29 |
| 1558422014 | Norman Silversmith | Psychiatry & Neurology | 4440 Pga Blvd, Suite 306, Palm Beach Gardens, FL 33410-6539 | 2006-12-12 |
| 1215016266 | Robert G Werboff | Psychiatry & Neurology | 2700 Pga Blvd, Suite 101, Palm Beach Gardens, FL 33410-2958 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1871108308 | Mrs Psychiatry | Psychiatry & Neurology | 5750 Collins Ave Apt 14g, Miami Beach, FL 33140-2328 | 2020-09-11 |
| 1477166106 | Hamlet R Hassan Md Pa | Psychiatry & Neurology | 10511 N Kendall Dr Ste C201, Miami, FL 33176-1580 | 2020-08-24 |
| 1841818952 | Sunshine, Lollipops and Rainbows, LLC | Psychiatry & Neurology | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-07 |
| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| 1417594615 | Douglas Marc Berger | Psychiatry & Neurology | 8891 Majorca Bay Dr, Lake Worth, FL 33467-6925 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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| 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.