MEDICARE: NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1588258107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, LLC

Provider Business Mailing Address
First Line	:	222 PICADILLY ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6017
Country	:	US
Telephone Number	:	561-578-8585
Fax Number	:	561-578-8601

Provider Business Practice Location Address
First Line	:	2010 PONCE DE LEON AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6040
Country	:	US
Telephone Number	:	561-578-8585
Fax Number	:	561-578-8601

Authorized Official
Title or Position	:	CMO MEDICAL DIRECTOR
Name	:	DR. DANESH A. ALAM
Credential	:	MD
Telephone Number	:	630-390-0042

Provider Enumeration Date	:	02/24/2021
Last Update Date	:	08/18/2025

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