WAYSIDE HOUSE INC (NPI# 1639635980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639635980 |
| Entity Type | Organization |
| Organization Name | WAYSIDE HOUSE INC |
| Practice Address |
378 Ne 6th Ave Delray Beach FL 33483 |
| Practice Telephone | 5616669168 |
| Practice Fax Number | 5612940178 |
| Mailing Telephone | 5616669168 |
| Mailing Fax Number | 5612940178 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | JOANN KELLY (DIRECTOR) |
| Authorized Official Telephone | 5613890901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029979100 | 05 |
| Street Address |
378 NE 6TH AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780830224 | Wayside House, Inc. | Case Management | 378 Ne 6th Ave, Delray Beach, FL 33483-5517 | 2008-08-15 |
| 1912543489 | Leah Parisian | Social Worker | 378 Ne 6th Ave, Delray Beach, FL 33483-5517 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1790270254 | Erika Elizabeth Gottlieb | Physician Assistant | 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483 | 2018-06-27 |
| 1023525474 | Amber Diamond Miller | Behavior Technician | 1730 South Federal Highway, 268, Delray Beach, FL 33483 | 2018-01-08 |
| 1205343027 | Alisha Wendy Singh | Counselor | 500 Ne Federal Highway, Delray Beach, FL 33483 | 2018-01-02 |
| 1932620978 | Allison Larue | Optometrist | 954 Kokomo Key Lane, Delray Beach, FL 33483 | 2017-06-29 |
| 1164804977 | Body Mind Spirit Therapy Center | Marriage & Family Therapist | 1045 East Atlantic Avenue, Suite 205, Delray Beach, FL 33483 | 2015-06-29 |
| 1699174623 | Valentina Baez | Dentist | 160 Se 6th Ave # B1, Delray Beach, FL 33483 | 2014-08-14 |
| 1558632117 | Patricia L Thomas Shutt Psyd LLC | Psychologist | 120 Se 4th Avenue, Delray Beach, FL 33483 | 2012-01-13 |
| 1003149352 | Real Solutions Home Health Care, Inc | Home Health | 500 Gulfstream Blvd., Suite #103-a, Delray Beach, FL 33483 | 2009-09-17 |
| 1184859886 | Joanne F. Smith | Speech-Language Pathologist | 55 Tropic Isle Dr., #36, Delray Beach, FL 33483 | 2009-05-26 |
| Find all providers in zip 33483 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912203688 | Transformations Treatment Center | Psychologist | 14000 S Military Trl, Suite 204, Delray Beach, FL 33484-2610 | 2011-01-28 |
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|---|---|---|---|---|
| 1659978229 | Southern Florida Psychiatric Services LLC | Psychologist | 10750 Se Federal Hwy, Hobe Sound, FL 33455-4920 | 2020-10-06 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1215490099 | And Recovery & Behavioral Health LLC | Psychologist | 4711 2nd Ave S, St Petersburg, FL 33711-1013 | 2019-04-09 |
| 1285117549 | Parthenon Medical Pllc | Psychologist | 5105 Bowden Rd Ste 3, Jacksonville, FL 32216-5907 | 2018-09-12 |
| 1932688173 | Ecounsel LLC | Psychologist | 120 S Olive Ave # 602, West Palm Beach, FL 33401-5501 | 2018-08-08 |
| 1730670167 | Alonderay Abner-johnson | Psychologist | 7357 120th Ave N, West Palm Beach, FL 33412-1463 | 2018-05-22 |
| 1942711841 | Alma Center LLC | Psychologist | 17100 Royal Palm Blvd Ste 1, Weston, FL 33326-2308 | 2017-10-18 |
| 1871022590 | South Florida Addiction & Recovery Group, LLC | Psychologist | 4824 10th Ave N, Greenacres, FL 33463-2208 | 2017-06-06 |
| 1427582949 | John Marika | Psychologist | 830 Bayside Ln, Weston, FL 33326-3340 | 2017-04-12 |
| 1184075152 | Dr. Duane Frisby | Psychologist | 1767 Harborside Cir, Wellington, FL 33414-8068 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
| City | DELRAY BEACH |
| Zip Code | 33483 |
Please comment or provide details below to improve the information on WAYSIDE HOUSE INC.
| 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.