NEURORECOVERY INC (NPI# 1376931519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376931519 |
| Entity Type | Organization |
| Organization Name | NEURORECOVERY INC |
| Practice Address |
1101 N Congress Ave Ste 208 Boynton Beach FL 33426-3336 |
| Practice Telephone | 5617346118 |
| Practice Fax Number | 5613693275 |
| Mailing Telephone | 5617346118 |
| Mailing Fax Number | 5613693275 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Authorized Official Name | LISA CICETTI (OWNER) |
| Authorized Official Telephone | 5617346118 |
| Authorized Official Credential | PSYD., LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY7715 | FL | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PY7715 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1101 N CONGRESS AVE STE 208 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215124847 | Lisa Cicetti Psy D Lmhc Inc | Social Worker | 1101 N Congress Ave Ste 208, Boynton Beach, FL 33426-3336 | 2007-09-27 |
| 1699044354 | Lisa Cicetti Psy.d., Lmhc Inc. | Substance Abuse Rehabilitation Facility | 1101 N Congress Ave Ste 208, Boynton Beach, FL 33426-3336 | 2011-12-23 |
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043527393 | Deirdre Knapp | Clinical Neuropsychologist | 7754 Sundew Dr, Boynton Beach, FL 33437-7557 | 2010-09-08 |
| 1609114701 | Ladonna Dahl,psy.d., Inc. | Clinical Neuropsychologist | 1101 N Congress Ave, Suite 202, Boynton Beach, FL 33426-3336 | 2013-01-24 |
| 1194001917 | Meghan Jacobs, Psy.d., Pa | Clinical Neuropsychologist | 200 Knuth Rd, Boynton Beach, FL 33436-4629 | 2011-10-25 |
| 1902112717 | The Neuroforensic Institute and Therapeutic Services Inc. | Clinical Neuropsychologist | 8198 Jog Rd, Suite 201, Boynton Beach, FL 33472-2900 | 2010-08-31 |
| 1477656098 | Roger L Bash | Clinical Neuropsychologist | 10301 Hagen Ranch Rd Ste B6, Boynton Beach, FL 33437-3723 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on NEURORECOVERY INC.
| 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.