MODERN REALITY (NPI# 1528628856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528628856 |
Entity Type | Organization |
Organization Name | MODERN REALITY |
Practice Address |
200 Knuth Rd Ste 101 Boynton Beach FL 33436-4635 |
Practice Telephone | 5614029655 |
Mailing Telephone | 5614029655 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |
Authorized Official Name | CASEY BRANNIGAN (OWNER) |
Authorized Official Telephone | 5614029655 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
200 KNUTH RD STE 101 |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33436-4635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
Find all providers in zip 33436 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937290 | In The Name of Children, LLC | Clinic/Center | 300 S Pine Island Rd Ste 224, Plantation, FL 33324-2620 | 2020-09-22 |
1700403698 | True Care Home Services Inc | Clinic/Center | 9139 Sw 227th Ter, Cutler Bay, FL 33190-1977 | 2020-06-26 |
1225661473 | The Center for Advanced Neurosciences | Clinic/Center | 13337 Sw 44th St, Davie, FL 33330-4713 | 2020-02-17 |
1801450515 | Inspirational Care Counseling LLC | Clinic/Center | 12630 Bramfield Dr, Riverview, FL 33579-7774 | 2019-04-29 |
1942769567 | Veronica Castro, Psy.d., Pa | Clinic/Center | 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 | 2019-03-13 |
1780159061 | Solutions Center for Personal Growth | Clinic/Center | 664 Se Monterey Rd, Stuart, FL 34994-4410 | 2018-10-12 |
1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
1598268906 | Risen Consultants LLC | Clinic/Center | 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 | 2018-03-12 |
1679080824 | Heather M. Fewox-steen, Lmhc, LLC. | Clinic/Center | 3955 Riverside Ave Ste 2f, Jacksonville, FL 32205-3313 | 2018-01-09 |
Find all providers with the same taxonomy |
City | BOYNTON BEACH |
Zip Code | 33436 |
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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.