DEBRA GOLDMAN INC. (NPI# 1528439874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528439874 |
| Entity Type | Organization |
| Organization Name | DEBRA GOLDMAN INC. |
| Practice Address |
221 Greenwich Cir Suite 100 Jupiter FL 33458-2890 |
| Mailing Address |
395 Aster St Palm Beach Gardens FL 33410-4802 |
| Practice Telephone | 5614271770 |
| Mailing Telephone | 5616028041 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MRS. DEBRA JOY GOLDMAN (PRESIDENT) |
| Authorized Official Telephone | 5616028041 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MH 2654 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL NPI NUMBER | 1811046717 | 01 |
| Street Address |
221 GREENWICH CIR SUITE 100 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184673444 | Jaideep Puri | Internal Medicine | 221 Greenwich Cir, Suite 110, Jupiter, FL 33458-2890 | 2006-05-06 |
| 1467860106 | Jaideep Puri Md Pllc | Internal Medicine | 221 Greenwich Cir, Suite 110, Jupiter, FL 33458-2890 | 2014-07-25 |
| 1730515156 | Kathryn Lorraine Dorendorf | Psychologist | 221 Greenwich Cir, Suite 111, Jupiter, FL 33458-2890 | 2013-09-17 |
| 1679907703 | Nuviva Medical Weight Loss of Jupiter | Family Medicine | 221 Greenwich Cir, Suite 103, Jupiter, FL 33458-2890 | 2013-08-26 |
| 1477805885 | Axiom Health, LLC | Psychologist | 221 Greenwich Cir, 111, Jupiter, FL 33458-2890 | 2012-10-09 |
| 1982971800 | Palm Beach Behavioral Health and Wellness, LLC | Psychologist | 221 Greenwich Cir, Suite 111, Jupiter, FL 33458-2890 | 2011-11-21 |
| 1700116829 | Brandi M Rials | Psychologist | 221 Greenwich Cir, 111, Jupiter, FL 33458-2890 | 2010-01-12 |
| 1679630644 | Jeanne Patricia Yetz | Psychiatry & Neurology | 221 Greenwich Cir, Suite 100, Jupiter, FL 33458-2890 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932542941 | New Life Behavioral Health | Clinic/Center | 725 N Highway A1a, Suite B106, Jupiter, FL 33477-4571 | 2013-04-09 |
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| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
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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.