SEASIDE WELLNESS OF PALM BEACH LLC
NPI 1992502660
Psychiatric Residential Treatment Facility in Palm Beach Shores, FL

Active since February 28, 2025CLIA 10D2320015 · Waiver
106 BLOSSOM LN, PALM BEACH SHORES, FL 33404(888) 831-4855(949) 606-0488 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Feb 28, 2025 (2 updates tracked since 2025).

About Seaside Wellness Of Palm Beach Llc NPPES

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

SEASIDE WELLNESS OF PALM BEACH LLC (NPI 1992502660) is a healthcare organization registered as a psychiatric residential treatment facility in Palm Beach Shores, Florida and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Nicholas Petrillo, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1992502660
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameSEASIDE WELLNESS OF PALM BEACH LLC
Location Address106 BLOSSOM LNPalm Beach Shores, FL 33404-5705
Mailing Address621 Nw 53rd St Ste 370Boca Raton, FL 33487-8241 · (978) 788-4460
Fax(949) 606-0488
Organization SubpartNo
Authorized OfficialNicholas PetrilloCeo, Owner · (978) 440-3200
Enumeration DateFebruary 28, 2025
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1992502660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
106 BLOSSOM LN, Palm Beach Shores, FL 33404

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2320015

Seaside Wellness Of Palm Beach LLC · Palm Beach Shores, FL
Active · expires Mar 10, 2027
CLIA Number10D2320015
Laboratory TypeResidential Mental Health
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorNicholas Petrillo
Laboratory Phone(888) 831-4855
Laboratory LocationSeaside Wellness Of Palm Beach LLC106 Blossom Lane, Palm Beach Shores, FL 33404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
106 BLOSSOM LN
PALM BEACH SHORES, FL 33404

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 Seaside Wellness Of Palm Beach LLC's NPI number?

The NPI number for Seaside Wellness Of Palm Beach LLC is 1992502660. It was assigned to this organization in the NPPES registry on February 28, 2025.

Where is Seaside Wellness Of Palm Beach LLC located?

Seaside Wellness Of Palm Beach LLC is located at 106 Blossom Ln, Palm Beach Shores, FL 33404. The listed phone number is (888) 831-4855.

What is Seaside Wellness Of Palm Beach LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Seaside Wellness Of Palm Beach LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2320015) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seaside Wellness Of Palm Beach LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.