MEDICARE: RECLAIM MENTAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0802X	Addiction Psychiatry Physician
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1427753169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECLAIM MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	3275 W HILLSBORO BLVD STE 300D
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9474
Country	:	US
Telephone Number	:	954-451-2592
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 W HILLSBORO BLVD STE 300D
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9474
Country	:	US
Telephone Number	:	954-451-2592
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AKIVA M DAUM
Credential	:	MD FAPA
Telephone Number	:	954-451-2592

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/10/2023

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