DELRAY BEACH WELLNESS CENTER LLC (NPI# 1992239917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992239917 |
| Entity Type | Organization |
| Organization Name | DELRAY BEACH WELLNESS CENTER LLC |
| Practice Address |
1300 Nw 17th Ave Suite 145 Delray Beach FL 33445-2578 |
| Practice Telephone | 8447639968 |
| Practice Fax Number | 8772811665 |
| Mailing Telephone | 8447639968 |
| Mailing Fax Number | 8772811665 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | VERONICA HERNANDEZ (BILLING MANAGER) |
| Authorized Official Telephone | 9542033584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
1300 NW 17TH AVE SUITE 145 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585721 | Dimitrios Michael Kalomiris | Pathology | 1300 Nw 17th Ave, Suite 130, Delray Beach, FL 33445-2578 | 2006-10-02 |
| 1295349264 | Yadira Rodriguez Caceres | Behavior Technician | 1300 Nw 17th Ave, Delray Beach, FL 33445-2578 | 2020-09-07 |
| 1679001853 | Rotem Moshe | Counselor | 1300 Nw 17th Ave, Delray Beach, FL 33445-2578 | 2017-05-31 |
| 1538607445 | Malia Birk | Social Worker | 1300 Nw 17th Ave, Delray Beach, FL 33445-2578 | 2017-02-10 |
| 1215385745 | Florida Recovery Group, LLC | Clinic/Center | 1300 Nw 17th Ave, Suite 112, Delray Beach, FL 33445-2578 | 2016-05-25 |
| 1013381110 | Next Chapter Addiction Treatment | Clinic/Center | 1300 Nw 17th Ave, Suite 170, Delray Beach, FL 33445-2578 | 2015-11-30 |
| 1477939379 | Alphaeus Healthcare Solutions, LLC | Case Management | 1300 Nw 17th Ave, Unit 273a, Delray Beach, FL 33445-2578 | 2015-08-03 |
| 1386020279 | Stanton Brooks | Case Manager/Care Coordinator | 1300 Nw 17th Ave, Unit 273a, Delray Beach, FL 33445-2578 | 2015-08-03 |
| 1932583184 | Dr. Roy Bassett,md, Pl | Family Medicine | 1300 Nw 17th Ave, 101, Delray Beach, FL 33445-2578 | 2015-07-17 |
| 1679972277 | South Florida Treatment Solutions | Case Management | 1300 Nw 17th Ave, Suite 161, Delray Beach, FL 33445-2578 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538517529 | Rick Stephan | Clinical Neuropsychologist | 151 Se 3rd Ave Apt 334, Delray Beach, FL 33483-4678 | 2016-05-31 |
| 1124151931 | Center for Neuroscience Pl | Clinical Neuropsychologist | 16244 Military Trl Ste 150, Delray Beach, FL 33484-6505 | 2007-03-13 |
| 1457349516 | Kevin Joseph Lapinski | Clinical Neuropsychologist | 100 E Linton Blvd, Suite 403b, Delray Beach, FL 33483-3327 | 2005-10-12 |
| 1073136354 | Monica Capovani | Clinical Neuropsychologist | 601 N Congress Ave Ste 420, Delray Beach, FL 33445-4640 | 2020-05-21 |
| 1174928881 | Diana Bronshteyn | Clinical Neuropsychologist | 1200 Nw 17th Ave, Suite 12, Delray Beach, FL 33445-2503 | 2014-10-24 |
| 1205246188 | Delray Medical Physician Services LLC | Clinical Neuropsychologist | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2014-05-01 |
| 1912132416 | Eileen Messing Psyd Pa | Clinical Neuropsychologist | 7499 W Atlantic Ave, Suite 206, Delray Beach, FL 33446-1395 | 2009-05-28 |
| 1326212887 | Stanger Health Care Centers Inc | Clinical Neuropsychologist | 601 N Congress Ave, Suite 417, Delray Beach, FL 33445-4703 | 2008-04-16 |
| 1811048788 | Eileen Elizabeth Messing | Clinical Neuropsychologist | 7499 W Atlantic Ave, Suite 206, Delray Beach, FL 33446-1395 | 2007-01-16 |
| 1174510176 | Robert Henry Brick | Clinical Neuropsychologist | 5210 Linton Blvd, Suite 204, Delray Beach, FL 33484-6542 | 2005-10-04 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on DELRAY BEACH WELLNESS CENTER LLC.
| 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.