COMPREHENSIVE ADDICTION RECOVERY EDUCATION (NPI# 1710318688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710318688 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE ADDICTION RECOVERY EDUCATION |
Practice Address |
321 Northlake Blvd Suite 102 North Palm Beach FL 33408-5422 |
Practice Telephone | 5614940866 |
Practice Fax Number | 5614940984 |
Mailing Telephone | 5614940866 |
Mailing Fax Number | 5614940984 |
Enumeration Date | 2013-12-03 |
Last Update Date | 2013-12-03 |
Authorized Official Name | DR. MITCHELL WALLICK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5614940866 |
Authorized Official Credential | PH.D. |
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 | 171100000X | Acupuncturist | Other Service Providers | ||
N | 174400000X | Specialist | Other Service Providers | ||
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
Street Address |
321 NORTHLAKE BLVD SUITE 102 |
City | NORTH PALM BEACH |
State | FL |
Zip Code | 33408-5422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770502957 | Susan G Naversen | Acupuncturist | 321 Northlake Blvd, Ste 102, North Palm Beach, FL 33408-5422 | 2006-07-19 |
1952922320 | Zoe Posner | Social Worker | 321 Northlake Blvd, North Palm Beach, FL 33408-5422 | 2020-04-27 |
1528579612 | Leigh Ann Penniman | Counselor | 321 Northlake Blvd, Suite 108, North Palm Beach, FL 33408-5405 | 2017-10-17 |
1710308796 | Julia Valente | Counselor | 321 Northlake Blvd, Suite 102, North Palm Beach, FL 33405-5422 | 2013-12-18 |
1942621032 | Gary Cohen | Counselor | 321 Northlake Blvd, Suite 102, North Palm Beach, FL 33408-5422 | 2013-12-17 |
1700207891 | Joyce Ketterman | Counselor | 321 Northlake Blvd, Suite 102, North Palm Beach, FL 33408-5422 | 2013-12-17 |
1184944688 | Tracy Arechederra | Social Worker | 321 Northlake Blvd, North Palm Beach, FL 33408-5422 | 2010-06-07 |
1811130719 | Mitchell E. Wallick | Counselor | 321 Northlake Blvd, Suite 102, North Palm Beach, FL 33408-5422 | 2009-04-08 |
1972746873 | Aimee E. Wallick | Counselor | 321 Northlake Blvd, Suite 102, North Palm Beach, FL 33408-5422 | 2009-04-08 |
1295993129 | Natalya Nelina | Psychologist | 321 Northlake Blvd, Ste 205, North Palm Beach, FL 33408 | 2008-05-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306457585 | Naomi Bollaci | Pharmacist | 314 Northlake Blvd, North Palm Beach, FL 33408 | 2020-08-12 |
1740750306 | Dihana C Ruiz | Nurse Practitioner | 631 Us Highway One Suite 309, North Palm Beach, FL 33408 | 2018-11-27 |
1487121117 | Chancellor Medical | Durable Medical Equipment & Medical Supplies | 1224 N. Federal Highway, Suite D, North Palm Beach, FL 33408 | 2018-10-31 |
1538679535 | Jennifer Guldager | Physician Assistant | 11951 Us Highway 1 Ste 108, North Palm Beach, FL 33408 | 2017-10-04 |
1134646581 | Live Now Physical Therapy Inc. | Clinic/Center | 873 Fathom Rd W, North Palm Beach, FL 33408 | 2017-08-26 |
1912424573 | Magdalena Orosz | Clinical Medical Laboratory | 20 Celestial Way #205, Juno Beach, FL 33408 | 2017-08-24 |
1205377173 | Premier Compounding Pharmacy, Inc. | Pharmacy | 2000 Pga Blvd., Suite 5507, Palm Beach Gardens, FL 33408 | 2017-03-13 |
1841742160 | Anne Hart Rajawat | Speech-Language Pathologist | 1201 Us 1 Ste 210, North Palm Beach, FL 33408 | 2016-11-03 |
1801342605 | Lindsey Kelly | Occupational Therapist | 1201 U.S. Highway One, Suite 215, North Palm Beach, FL 33408 | 2016-08-31 |
1346694205 | Stephanie Lynch Therapy Inc. | Counselor | 513 Us Hwy #1, 213, North Palm Beach, FL 33408 | 2016-04-18 |
Find all providers in zip 33408 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1760981260 | Panama City Springs & Recovery Center, Inc | Psychiatry & Neurology | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-02-09 |
1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
Find all providers with the same taxonomy |
City | NORTH PALM BEACH |
Zip Code | 33408 |
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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.