IMMERSION RECOVERY CENTER LLC (NPI# 1295198208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295198208 |
| Entity Type | Organization |
| Organization Name | IMMERSION RECOVERY CENTER LLC |
| Practice Address |
1700 W Woolbright Rd Ste 4 Boynton Beach FL 33426-6346 |
| Practice Telephone | 5618435904 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | JUSTIN WILLIAM (ADMINISTRATOR) |
| Authorized Official Telephone | 5618635904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821056 | Immersion Recovery Center LLC | Substance Abuse Rehabilitation Facility | 3333 S Congress Ave, Suite 402, Delray Beach, FL 33445-7308 | 2016-02-12 |
| Street Address |
1700 W WOOLBRIGHT RD STE 4 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394755 | Palm Cove Psychology Group, Pllc | Psychologist | 1500 Gateway Blvd Ste 220, Boynton Beach, FL 33426-7233 | 2020-10-21 |
| 1609319979 | Live Healthcare Group LLC | Psychologist | 2437 Quantum Blvd, Suite B, Boynton Beach, FL 33426-8612 | 2016-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978229 | Southern Florida Psychiatric Services LLC | Psychologist | 10750 Se Federal Hwy, Hobe Sound, FL 33455-4920 | 2020-10-06 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1215490099 | And Recovery & Behavioral Health LLC | Psychologist | 4711 2nd Ave S, St Petersburg, FL 33711-1013 | 2019-04-09 |
| 1285117549 | Parthenon Medical Pllc | Psychologist | 5105 Bowden Rd Ste 3, Jacksonville, FL 32216-5907 | 2018-09-12 |
| 1932688173 | Ecounsel LLC | Psychologist | 120 S Olive Ave # 602, West Palm Beach, FL 33401-5501 | 2018-08-08 |
| 1730670167 | Alonderay Abner-johnson | Psychologist | 7357 120th Ave N, West Palm Beach, FL 33412-1463 | 2018-05-22 |
| 1942711841 | Alma Center LLC | Psychologist | 17100 Royal Palm Blvd Ste 1, Weston, FL 33326-2308 | 2017-10-18 |
| 1871022590 | South Florida Addiction & Recovery Group, LLC | Psychologist | 4824 10th Ave N, Greenacres, FL 33463-2208 | 2017-06-06 |
| 1427582949 | John Marika | Psychologist | 830 Bayside Ln, Weston, FL 33326-3340 | 2017-04-12 |
| 1184075152 | Dr. Duane Frisby | Psychologist | 1767 Harborside Cir, Wellington, FL 33414-8068 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on IMMERSION RECOVERY CENTER 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.