JACQUELYN GRANDA, LLC (NPI# 1528618501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528618501 |
| Entity Type | Organization |
| Organization Name | JACQUELYN GRANDA, LLC |
| Practice Address |
21301 Powerline Rd Ste 304 Boca Raton FL 33433-2391 |
| Practice Telephone | 5612991549 |
| Mailing Telephone | 5612991549 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | JACQUELYN MICHELLE GRANDA (OWNER) |
| Authorized Official Telephone | 5619028317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
21301 POWERLINE RD STE 304 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33433-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992121511 | Boca Raton Family Counseling,llc | Social Worker | 21301 Powerline Rd Ste 304, Boca Raton, FL 33433-2391 | 2014-03-06 |
| 1629625843 | Jacquelyn Michelle Granda | Counselor | 21301 Powerline Rd Ste 304, Boca Raton, FL 33433-2391 | 2019-08-22 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396344040 | Lauren Lenter Shapiro | Counselor | 22158 Bella Lago Dr Apt 2108, Boca Raton, FL 33433-4824 | 2020-10-23 |
| 1639778574 | Jaime D'alessio | Counselor | 413 E Palmetto Park Rd Apt 953, Boca Raton, FL 33432-5195 | 2020-10-21 |
| 1194332502 | Sari Elissa Cohen | Counselor | 8190 Via Di Veneto, Boca Raton, FL 33496-1974 | 2020-09-29 |
| 1245847235 | Kristen Souza | Counselor | 10067 Akenside Dr, Boca Raton, FL 33428-3003 | 2020-09-24 |
| 1275143935 | Lindsay Haas Grobstein | Counselor | 4940 Nw 15th Ave, Boca Raton, FL 33431-3327 | 2020-08-06 |
| 1497380695 | Olga Sophia Grinfeld | Counselor | 751 Park of Commerce Dr Ste 128, Boca Raton, FL 33487-3623 | 2020-03-08 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1205477486 | Deborah Hecker | Counselor | 1303 Bridgewood Dr, Boca Raton, FL 33434-4129 | 2019-09-30 |
| 1700434461 | Rikki Goldenberg | Counselor | 7777 Glades Rd Ste 321, Boca Raton, FL 33434-4150 | 2019-08-27 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33433 |
Please comment or provide details below to improve the information on JACQUELYN GRANDA, 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.