PROSPER JOSEPH


Address: 1774 15th Ave N, Lake Worth, FL 33460-1734
Phone: 4079659329

PROSPER JOSEPH (NPI# 1881001972) 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) 1881001972
Entity Type Individual
Full Name PROSPER JOSEPH
Credential M.D.
Practice Address 1774 15th Ave N
Lake Worth
FL 33460-1734
Practice Telephone 4079659329
Practice Fax Number 7862720476
Mailing Telephone 4079659329
Mailing Fax Number 7862720476
Enumeration Date 2014-07-21
Last Update Date 2017-01-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183700000X Pharmacy Technician RPHT3903 FL Pharmacy Service Providers
Y 103TP0016X Psychologist
Specialization: Prescribing (Medical)
2343212 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1774 15TH AVE N
City LAKE WORTH
State FL
Zip Code 33460-1734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134670516 Virgo Health Care Community/Behavioral Health 1774 15th Ave N, Lake Worth, FL 33460-1734 2016-10-20
1578010831 Virgo Health Care Case Management 1774 15th Ave N, Lake Worth, FL 33460-1734 2016-09-04

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1679003602 Sylvia Grant Registered Nurse 919 12th Ave S, Lake Worth, FL 33460 2017-06-13
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Taxonomy Information

Taxonomy Code 103TP0016X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Prescribing (Medical)

Taxonomy Definition

Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356795629 Florida Psych Services Inc. Psychologist 13436 Sw Pembroke Cir N, Lake Suzy, FL 34269-6909 2016-04-22
1053712125 Lysal Enterprises, Inc. Psychologist 7215 Zapata Dr, Jacksonville, FL 32210-4772 2014-09-09
1295075372 Pinellas Psychiatric Services, LLC Psychologist 25 Franklin Ct S, Unit A, St Petersburg, FL 33711-5136 2013-02-26
1376883074 Pauline S Powers Md LLC Psychologist 7401 Temple Terrace Hwy Ste A, Temple Terrace, FL 33637-5784 2013-02-18
1982836391 Back Door, LLC Psychologist 1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657 2009-08-18
1508046855 Sunrise Mental Health Inc Psychologist 250 Brooks Street, Suite C, Fort Walton Beach, FL 32548 2007-11-05
1245429463 Broward Institute of Neuro Science L L C Psychologist 7501 Wiles Rd Ste 105, Coral Springs, FL 33067-2063 2007-10-24
1083802821 Treasure Coast Psychiatric Services, P.a. Psychologist 789 S Federal Hwy Suite 213, Stuart, FL 34994-2962 2007-10-05
1083828438 Phil K Springer Psychologist Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 2007-05-09
1346465424 Janis Faith Heffron Psychologist 1317 Winewood Blvd Ste 6 Room 213, Tallahassee, FL 32399-6570 2007-04-16
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Competitor

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City LAKE WORTH
Zip Code 33460

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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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