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IMMERSION RECOVERY CENTER LLC
NPI 1295198208
Psychologist - Addiction (Substance Use Disorder) in Boynton Beach, FL

Active since March 29, 2016
1700 W WOOLBRIGHT RD STE 4, BOYNTON BEACH, FL 33426(561) 843-5904 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Immersion Recovery Center Llc NPPES

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

IMMERSION RECOVERY CENTER LLC (NPI 1295198208) is a healthcare organization registered as an addiction (substance use disorder) in Boynton Beach, Florida and active in the NPI registry since March 2016. The organization lists Justin William, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295198208
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameIMMERSION RECOVERY CENTER LLC
Location Address1700 W WOOLBRIGHT RD STE 4Boynton Beach, FL 33426-6346
Mailing Address1700 W Woolbright Rd Ste 4Boynton Beach, FL 33426-6346
Phone(561) 843-5904
Organization SubpartNo
Authorized OfficialJustin WilliamAdministrator · (561) 863-5904
Enumeration DateMarch 29, 2016
✔ NPI 1295198208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

1700 W WOOLBRIGHT RD STE 4, Boynton Beach, FL 33426
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Immersion Recovery Center LLC's NPI number?

The NPI number for Immersion Recovery Center LLC is 1295198208. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Immersion Recovery Center LLC located?

Immersion Recovery Center LLC is located at 1700 W Woolbright Rd Ste 4, Boynton Beach, FL 33426. The listed phone number is (561) 843-5904.

What is Immersion Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Immersion Recovery Center LLC was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.