NEW PATH WELLNESS CENTER LLC (NPI# 1497291181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497291181 |
| Entity Type | Organization |
| Organization Name | NEW PATH WELLNESS CENTER LLC |
| Practice Address |
3175 S Congress Ave 204 Palm Springs FL 33461-2500 |
| Practice Telephone | 5618143968 |
| Mailing Telephone | 5618143968 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | ANTOINE JACQUES (OWNER) |
| Authorized Official Telephone | 5618143968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3175 S CONGRESS AVE 204 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028515 | Arnold Jay Simon | Internal Medicine | 3175 S Congress Ave, Suite #305, Palm Springs, FL 33461-2500 | 2006-01-23 |
| 1215308853 | S U R Doctors Group, LLC | Psychiatry & Neurology | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2015-10-08 |
| 1427469774 | Stepping Up Recovery, LLC | Clinic/Center | 3175 S Congress Ave, Suite # 304, Palm Springs, FL 33461-2500 | 2014-05-08 |
| 1861830085 | Charles Edward Brooks | Counselor | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2013-06-10 |
| 1023311099 | Palm Springs Massage Therapy Inc | Reflexologist | 3175 S Congress Ave, Suite 105, Palm Springs, FL 33461-2500 | 2010-12-14 |
| 1245319243 | Anthony Kirindongo Md Corp | Family Medicine | 3175 S Congress Ave, Suite 105, Palm Springs, FL 33461-2562 | 2006-11-02 |
| 1790702447 | Bain L Mckinney | Nurse Practitioner | 3175 S Congress Ave, Suite 201, Palm Springs, FL 33461-2500 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477032548 | Family Health Counseling Center | Counselor | 2677 Forest Hill Blvd Ste 102, Palm Springs, FL 33406-5941 | 2018-08-09 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1417240540 | Donna Gaudsmith | Counselor | 1330 N. Indian Canyon Dr. A, Palm Springs, CA 92262-5528 | 2011-05-23 |
| 1003092917 | Patricia Parriott | Counselor | 1445 N Sunrise Way Ste 103, Palm Springs, CA 92262-3700 | 2008-01-10 |
| 1922299049 | Thomas Erik Von Kaenel | Counselor | 1330 N Indian Canyon Dr Ste A, Palm Springs, CA 92262-4880 | 2007-08-05 |
| 1922217090 | Anthony Waring | Counselor | 1330 N Indian Canyon Dr Suite A, Palm Springs, CA 92262-3117 | 2007-05-22 |
| 1700095668 | Brenda Darnell Lias | Counselor | 1330 N Indian Canyon Dr Ste A B, Palm Springs, CA 92262-4880 | 2007-05-21 |
| 1801494265 | Elvira Shaunise Meza | Counselor | 1330 N Indian Canyon Dr, Palm Springs, CA 92262-4880 | 2020-10-16 |
| 1700410883 | Edith Jaimes | Counselor | 1330 N Indian Canyon Dr Ste A, Palm Springs, CA 92262-4880 | 2020-02-27 |
| 1215573894 | Laura White | Counselor | 1330 N Indian Canyon Dr Ste A, Palm Springs, CA 92262-4880 | 2019-11-19 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on NEW PATH WELLNESS 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.