TRANSFORMATIONS TREATMENT CENTER (NPI# 1912203688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912203688 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONS TREATMENT CENTER |
| Practice Address |
14000 S Military Trl Suite 204 Delray Beach FL 33484-2610 |
| Mailing Address |
Po Box 301571 Dallas TX 75303-0001 |
| Practice Telephone | 5615015260 |
| Mailing Telephone | 5615015260 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MATTHEW HIRSCH (EXEC. VP) |
| Authorized Official Telephone | 5615015260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1550AD144701 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861646291 | Transformations Treatment Center | Clinic/Center | 14000 S Military Trl Ste 204a, Delray Beach, FL 33484-2654 | 2008-11-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRANSFORMATIONS TREATMENT CENTER, INC | 14000 S Military Trl Ste 204a, Delray Beach, FL 33484-2654 |
| Street Address |
14000 S MILITARY TRL SUITE 204 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962675983 | Alyson Gail Benison | Counselor | 14000 S Military Trl, Suite 206c, Delray Beach, FL 33484-2610 | 2008-04-10 |
| 1376028118 | Andrea Mcquitty | Marriage & Family Therapist | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-09-27 |
| 1689151045 | Rachel Loren Callister | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-07-27 |
| 1154826162 | Sergio Ivan Muriel | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-03-30 |
| 1396261814 | Samantha De Borchgrave | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2017-08-16 |
| 1851742407 | Peak Physicians Group Inc | Psychologist | 14000 S Military Trl, Suite 103, Delray Beach, FL 33484-2610 | 2016-06-24 |
| 1780027920 | Pinnacle Testing | Clinical Medical Laboratory | 14000 S Military Trl, Suite 202, Delray Beach, FL 33484-2600 | 2013-04-08 |
| 1063763944 | Supportive Healthcare Inc | Nurse Practitioner | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2012-10-02 |
| 1134474505 | Gdsl, Inc | Clinical Medical Laboratory | 14000 S Military Trl, Suite 211 B, Delray Beach, FL 33484-2610 | 2012-07-20 |
| 1073826368 | Jawad Daud | Psychiatry & Neurology | 14000 S Military Trl, Suite 202, Delray Beach, FL 33484-2610 | 2010-07-15 |
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|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 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 |
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| City | DELRAY BEACH |
| Zip Code | 33484 |
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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.