IC COMMUNITY SERVICES CORP (NPI# 1396374336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396374336 |
| Entity Type | Organization |
| Organization Name | IC COMMUNITY SERVICES CORP |
| Practice Address |
1968 S Congress Ave West Palm Beach FL 33406-6674 |
| Practice Telephone | 5614105433 |
| Mailing Telephone | 5614105433 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | BARBARA GONZALEZ (VICE PRESIDENT) |
| Authorized Official Telephone | 3058469303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1968 S CONGRESS AVE |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33406-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457848871 | Ka Dental Group Wpb, Pa | Clinic/Center | 1968 S Congress Ave, West Palm Beach, FL 33406-6674 | 2018-04-20 |
| 1952915597 | True Care Mental Health LLC | Clinic/Center | 1968 S Congress Ave, West Palm Beach, FL 33406-6674 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1780155200 | District Clinic Holdings Inc | Clinic/Center | 2151 N. 45th St Ste 204, West Palm Beach, FL 33407-2009 | 2018-12-10 |
| 1730663758 | Caring Minds Mental Health Center | Clinic/Center | 1489 N Military Trl Ste 208, West Palm Beach, FL 33409-6057 | 2018-09-17 |
| 1386151215 | Social Age Counseling, LLC | Clinic/Center | 12667 82nd Ln N, West Palm Beach, FL 33412-2267 | 2017-12-30 |
| 1437669728 | Palm Beach Drug Testing, LLC. | Clinic/Center | 2809 Poinsettia Ave Ste 3-5, West Palm Beach, FL 33407-5426 | 2017-10-02 |
| 1982129821 | Authentic Self Psychotherapeutic Services | Clinic/Center | 1920 Palm Beach Lakes Blvd Ste 206, West Palm Beach, FL 33409-3506 | 2017-08-11 |
| 1023439262 | Silvi Jantunen Psyd LLC | Clinic/Center | 2393 S Congress Ave Ste 226, West Palm Beach, FL 33406-7628 | 2013-12-13 |
| 1780658153 | Multilingual Psychotherapy Centers Inc | Clinic/Center | 1639 Forum Pl, Ste 7, West Palm Beach, FL 33401 | 2006-02-14 |
| 1952915597 | True Care Mental Health LLC | Clinic/Center | 1968 S Congress Ave, West Palm Beach, FL 33406-6674 | 2020-09-01 |
| 1568089407 | Genpsych, LLC | Clinic/Center | 500 S Australian Ave Ste 600, West Palm Beach, FL 33401-6237 | 2020-06-26 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33406 |
Please comment or provide details below to improve the information on IC COMMUNITY SERVICES CORP.
| 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.