MEDICARE: FERD AND GLADYS ALPERT JEWISH FAMILY & CHILDRENS SVC OF PLM BCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	FL
2	103TP2701X	Group Psychotherapy Psychologist	FL
3	2084P0805X	Geriatric Psychiatry Physician
4	1041C0700X	Clinical Social Worker	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841297926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERD AND GLADYS ALPERT JEWISH FAMILY & CHILDRENS SVC OF PLM BCH

Provider Business Mailing Address
First Line	:	PO BOX 220627
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33422-0627
Country	:	US
Telephone Number	:	561-684-1991
Fax Number	:	561-684-5366

Provider Business Practice Location Address
First Line	:	5841 CORPORATE WAY
Second Line	:	SUITE 200
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2039
Country	:	US
Telephone Number	:	561-684-1991
Fax Number	:	561-684-5366

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JENNIFER FRUMER NEWSTEIN
Credential	:	LCSW
Telephone Number	:	561-684-1991

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	03/30/2016

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