MR. EDWARD JACK BODENSTEIN (NPI# 1356322457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356322457 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JACK BODENSTEIN |
| Credential | MSW |
| Practice Address |
16244 South Military Trail Ste 460 Delray Beach FL 33484-1411 |
| Mailing Address |
13303-b Pineapple Palm Ct Delray Beach FL 33484-1411 |
| Practice Telephone | 5616384477 |
| Practice Fax Number | 5616384477 |
| Mailing Telephone | 5616384477 |
| Mailing Fax Number | 5616384477 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | SW4721 | FL | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
SW4721 | FL | Behavioral Health & Social Service Providers |
| Street Address |
16244 SOUTH MILITARY TRAIL STE 460 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619078391 | Eileen H Hande | Massage Therapist | 16244 South Military Trail, Suite 120, Delray Beach, FL 33484 | 2006-09-26 |
| 1356520415 | Maria Feliza V Salalac | Physical Therapist | 16244 South Military Trail, Suite 700, Delray Beach, FL 33484 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866405 | Daniel Martinez | Psychologist | 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 | 2020-09-16 |
| 1144792672 | American Psychology Consultants, Pa | Psychologist | 1615 S Congress Ave Ste 103, Delray Beach, FL 33445-6326 | 2018-12-21 |
| 1316223548 | Tiffany Glist Aronson | Psychologist | 16700 Aos Ln, Delray Beach, FL 33446-4351 | 2011-11-02 |
| 1659547826 | Diana V Hermansen | Psychologist | 2590 Albatross Rd N, Unit B, Delray Beach, FL 33444-3212 | 2008-05-07 |
| 1366648370 | Jeannie Shayna Brooks | Psychologist | 1850 Homewood Blvd Apt 217, Delray Beach, FL 33445-6894 | 2007-06-26 |
| 1831316454 | Emmanuel Bert Green | Psychologist | 7780 Lake Champlain Ct, Delray Beach, FL 33446-3311 | 2007-04-18 |
| 1912042979 | Tonia L Turner | Psychologist | 151 Ne 2nd Ave, Delray Beach, FL 33444-3703 | 2007-02-20 |
| 1255432423 | Rebecca S Ellinger | Psychologist | 16244 S Military Trail, Suite 460, Delray Beach, FL 33484 | 2006-09-26 |
| 1346355039 | Blanche V Freund | Psychologist | 15200 Jog Road, Suite 303, Delray Beach, FL 33446-1249 | 2006-08-20 |
| 1750907994 | Gabrielle Avery-peck | Psychologist | 4600 Linton Blvd Ste 250, Delray Beach, FL 33445-6600 | 2020-06-23 |
| Find all providers in DELRAY BEACH | ||||
| 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.