NEW LIFE BEHAVIORAL HEALTH (NPI# 1932542941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932542941 |
| Entity Type | Organization |
| Organization Name | NEW LIFE BEHAVIORAL HEALTH |
| Practice Address |
725 N Highway A1a Suite B106 Jupiter FL 33477-4571 |
| Practice Telephone | 5613293642 |
| Practice Fax Number | 5617470258 |
| Mailing Telephone | 5613293642 |
| Mailing Fax Number | 5617470258 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | MR. JOHN C. PROFERA (PRESIDENT/CEO) |
| Authorized Official Telephone | 5613293642 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2966762 | FL | Ambulatory Health Care Facilities |
| Street Address |
725 N HIGHWAY A1A SUITE B106 |
| City | JUPITER |
| State | FL |
| Zip Code | 33477-4571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164532974 | John Charles Profera | Nurse Practitioner | 725 N Highway A1a, Suite B106, Jupiter, FL 33477-4571 | 2006-08-30 |
| 1053681668 | Physicians Ekg Reading Group Inc | Internal Medicine | 725 N Highway A1a, Suite D102, Jupiter, FL 33477-4571 | 2012-01-12 |
| 1386771400 | Kaitryn Wertz | Counselor | 725 N Highway A1a, Building E, Ste 203, Jupiter, FL 33477-4571 | 2007-02-27 |
| 1972698033 | Erik Z Zudans | Dentist | 725 N Highway A1a, Suite D-107, Jupiter, FL 33477-4571 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
| 1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
| 1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
| 1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
| 1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
| 1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
| 1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
| 1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
| Find all providers in zip 33477 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528439874 | Debra Goldman Inc. | Clinic/Center | 221 Greenwich Cir, Suite 100, Jupiter, FL 33458-2890 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646654 | Movimentum Psychology | Clinic/Center | 1317 Edgewater Dr Unit 902, Orlando, FL 32804-6350 | 2020-10-09 |
| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.