MODERN REALITY


Address: 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635
Phone: 5614029655

MODERN REALITY (NPI# 1528628856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 200 KNUTH RD STE 101
City BOYNTON BEACH
State FL
Zip Code 33436-4635

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1376037374 Shannon M Mitchell Clinic/Center 3900 Max Place, Unit 101, Boynton Beach, FL 33436 2018-06-22
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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
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City BOYNTON BEACH
Zip Code 33436

Improve Information

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Dataset Information

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.

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