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BOCA RATON PSYCHOLOGY GROUP PA
NPI 1104670256
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boca Raton,, FL

Active since April 15, 2024
950 PENINSULA CORPORATE CIRCLE, SUITE 3000, BOCA RATON,, FL 33487(561) 999-8881(561) 999-8884 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Boca Raton Psychology Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOCA RATON PSYCHOLOGY GROUP PA (NPI 1104670256) is a healthcare organization registered as a mental health (including community mental health center) in Boca Raton,, Florida and active in the NPI registry since April 2024. The organization lists Maxie Harris, President, as its authorized official.

NPPES Registry Identity

NPI1104670256
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBOCA RATON PSYCHOLOGY GROUP PA
Location Address950 PENINSULA CORPORATE CIRCLE, SUITE 3000Boca Raton,, FL 33487-1387
Mailing Address950 Peninsula Corporate Cir Ste 3000Boca Raton, FL 33487-1387 · (561) 999-8881 · Fax (561) 999-8884
Phone(561) 999-8881
Fax(561) 999-8884
Organization SubpartNo
Authorized OfficialMaxie HarrisPresident · (954) 336-3807
Enumeration DateApril 15, 2024
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1104670256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
950 PENINSULA CORPORATE CIRCLE, Boca Raton,, FL 33487
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boca Raton Psychology Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boca Raton Psychology Group PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxie Harris, PH.D.
Clinical Psychologist
NPI 1346406840
1848 SE 1ST AVE STE 4
Fort Lauderdale, FL 33316
(954) 885-9500
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boca Raton Psychology Group PA's NPI number?

The NPI number for Boca Raton Psychology Group PA is 1104670256. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Boca Raton Psychology Group PA located?

Boca Raton Psychology Group PA is located at 950 Peninsula Corporate Circle Suite 3000, Boca Raton,, FL 33487. The listed phone number is (561) 999-8881.

What is Boca Raton Psychology Group PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Boca Raton Psychology Group PA enrolled in Medicare?

Yes. Boca Raton Psychology Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boca Raton Psychology Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Boca Raton Psychology Group PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boca Raton Psychology Group PA was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.