ETHOS PHYSICIAN GROUP LLC (NPI# 1538725940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538725940 |
| Entity Type | Organization |
| Organization Name | ETHOS PHYSICIAN GROUP LLC |
| Practice Address |
140 Ne 4th Ave Ste A Delray Beach FL 33483-4570 |
| Practice Telephone | 6782079575 |
| Mailing Telephone | 6782079575 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MR. DAVID NIKNAFS (OWNER) |
| Authorized Official Telephone | 6782079575 |
| 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 | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
140 NE 4TH AVE STE A |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33483-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1790270254 | Erika Elizabeth Gottlieb | Physician Assistant | 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483 | 2018-06-27 |
| 1023525474 | Amber Diamond Miller | Behavior Technician | 1730 South Federal Highway, 268, Delray Beach, FL 33483 | 2018-01-08 |
| 1205343027 | Alisha Wendy Singh | Counselor | 500 Ne Federal Highway, Delray Beach, FL 33483 | 2018-01-02 |
| 1932620978 | Allison Larue | Optometrist | 954 Kokomo Key Lane, Delray Beach, FL 33483 | 2017-06-29 |
| 1164804977 | Body Mind Spirit Therapy Center | Marriage & Family Therapist | 1045 East Atlantic Avenue, Suite 205, Delray Beach, FL 33483 | 2015-06-29 |
| 1699174623 | Valentina Baez | Dentist | 160 Se 6th Ave # B1, Delray Beach, FL 33483 | 2014-08-14 |
| 1558632117 | Patricia L Thomas Shutt Psyd LLC | Psychologist | 120 Se 4th Avenue, Delray Beach, FL 33483 | 2012-01-13 |
| 1003149352 | Real Solutions Home Health Care, Inc | Home Health | 500 Gulfstream Blvd., Suite #103-a, Delray Beach, FL 33483 | 2009-09-17 |
| 1184859886 | Joanne F. Smith | Speech-Language Pathologist | 55 Tropic Isle Dr., #36, Delray Beach, FL 33483 | 2009-05-26 |
| Find all providers in zip 33483 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308815 | Leonette Lee Copeland | Psychologist | 2225 Spring Harbor Dr Apt N, Delray Beach, FL 33445-6908 | 2020-05-22 |
| 1053942193 | Jeanette Zaneta Denker | Psychologist | 202 N Swinton Avenue, Delray Beach, FL 33444 | 2020-01-28 |
| 1235675695 | Robert Greenstone | Psychologist | 8137 Tumblestone Ct Apt 1136, Delray Beach, FL 33446-4455 | 2017-01-10 |
| 1598215345 | Melissa Marcus Ph.d. Plc | Psychologist | 8309 Banpo Bridge Way, Delray Beach, FL 33446-0029 | 2016-10-05 |
| 1851847834 | Senior Living Memory Health, Inc. | Psychologist | 7091 W Atlantic Avenue, Mtc At Weisman Center, Delray Beach, FL 33446 | 2016-08-30 |
| 1336502392 | Dr. Amber D. Lazarus, LLC | Psychologist | 139 Coconut Key Ln, Delray Beach, FL 33484-8832 | 2016-03-29 |
| 1558632117 | Patricia L Thomas Shutt Psyd LLC | Psychologist | 120 Se 4th Avenue, Delray Beach, FL 33483 | 2012-01-13 |
| 1679866636 | Leif Weig | Psychologist | 4800 Linton Blvd Ste E314, Delray Beach, FL 33445-6500 | 2011-05-25 |
| 1649457631 | Martin Eisner | Psychologist | 7259 Demedici Cir, Delray Beach, FL 33446-3187 | 2008-01-22 |
| 1306026604 | Psychological Associates of The Palm Beaches Inc | Psychologist | 1300 Nw 17th Ave Ste 101, Delray Beach, FL 33445-2554 | 2007-11-05 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33483 |
Please comment or provide details below to improve the information on ETHOS PHYSICIAN GROUP 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.