ELIZABETH H. FAULK FOUNDATION, INC. (NPI# 1104068352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104068352 |
| Entity Type | Organization |
| Organization Name | ELIZABETH H. FAULK FOUNDATION, INC. |
| Other Organization Name | CENTER FOR GROUP COUNSELING |
| Practice Address |
22455 Boca Rio Rd Boca Raton FL 33433-4708 |
| Practice Telephone | 5614835300 |
| Practice Fax Number | 5614835325 |
| Mailing Telephone | 5614835300 |
| Mailing Fax Number | 5614835325 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | DR. HOLLY KATZ (PROGRAMS AND TRAINING DIRECTOR) |
| Authorized Official Telephone | 5614835300 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Group Counseling | Doing Business As Name - Organization |
| Street Address |
22455 BOCA RIO RD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33433-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417199647 | Holly Katz | Psychologist | 22455 Boca Rio Rd, Boca Raton, FL 33433-4708 | 2009-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830785 | Keith Marley Thompson | Behavior Technician | 6885 B-5 Sw 18th St., Boca Raton, FL 33433 | 2020-10-26 |
| 1467084921 | Jessica Lori Woytanowski | Speech-Language Pathologist | 21345 Powerline Rd, Boca Raton, FL 33433 | 2020-02-12 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1124667993 | Melanie Simon | Occupational Therapist | 21345 South Powerline Rd, Suite 100, Boca Raton, FL 33433 | 2019-12-27 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1982253076 | Monika La Nuez, Lcsw, LLC | Social Worker | 6919 Sw 18th Street, Suite 200-239, Boca Raton, FL 33433 | 2019-09-10 |
| 1336795731 | United Spectrum Center | Day Training, Developmentally Disabled Services | 3845 West Hillsboro Blvd, Deefield Beach, FL 33433 | 2019-08-13 |
| 1780147678 | Teleemc LLC | Clinic/Center | 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 | 2019-04-09 |
| 1619446283 | Meryl Zigila | Occupational Therapist | 6327 Via De Sunrisa Del Sur, Boca Raton, FL 33433 | 2018-11-13 |
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| Find all providers in zip 33433 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943771 | Solutionist Counseling Services, LLC | Clinic/Center | 9250 West Glades Rd Suite 209, Boca Raton, FL 33434 | 2019-10-14 |
| 1285137679 | Rising Hope Caregivers | Clinic/Center | 20492 Meeting St, Boca Raton, FL 33434-5907 | 2018-03-13 |
| 1851828131 | Aurora Counseling, LLC | Clinic/Center | 2295 Nw Corporate Blvd Ste 211, Boca Raton, FL 33431-7330 | 2017-05-17 |
| 1851680607 | Fountains Recovery, LLC | Clinic/Center | 798 S Federal Hwy Ste 200, Boca Raton, FL 33432-6162 | 2011-04-01 |
| 1174554950 | American Therapeutic Corporation | Clinic/Center | 717 E Palmetto Park Rd, Boca Raton, FL 33432-5103 | 2006-07-06 |
| 1699722462 | Healing Minds Inc | Clinic/Center | 7400 N Federal Hwy, Suite A4, Boca Raton, FL 33487-1693 | 2006-05-27 |
| 1710536230 | Morgan Levy, Phd, Pllc | Clinic/Center | 4800 N Federal Hwy Ste 203a, Boca Raton, FL 33431-5176 | 2019-09-06 |
| 1831742295 | Calm Waters Counseling Services, LLC | Clinic/Center | 1600 S Dixie Hwy Ste 508, Boca Raton, FL 33432-7454 | 2019-07-24 |
| 1740721315 | The Path To Healing LLC | Clinic/Center | 2200 N Federal Hwy, Suite 219, Boca Raton, FL 33431-7766 | 2017-03-16 |
| 1225573694 | District Clinic Holdings Inc | Clinic/Center | 23123 State Road 7, Suite 108, Boca Raton, FL 33428 | 2016-12-21 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33433 |
Please comment or provide details below to improve the information on ELIZABETH H. FAULK FOUNDATION, 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.