SEASIDE WELLNESS OF PALM BEACH LLC
NPI 1992502660
Psychiatric Residential Treatment Facility in Palm Beach Shores, FL
NPI Status: Active since February 28, 2025
Contact Information
106 BLOSSOM LN
PALM BEACH SHORES, FL
ZIP 33404
Phone: (888) 831-4855
Fax: (949) 606-0488
- Organization
- Psychiatric Residential Treatment Facili...
- CLIA Number: 10D2320015
- CLIA Cert. Type: Other - RESIDENTIAL MENTAL HEALTH
- CLIA Exp. Date: 03-10-2027
About SEASIDE WELLNESS OF PALM BEACH LLC
This page provides the complete NPI Profile along with additional information for Seaside Wellness Of Palm Beach Llc, a provider established in Palm Beach Shores, Florida operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1992502660 assigned on February 2025. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Nicholas Petrillo (Ceo, Owner)
- NPI
- 1992502660
- Provider Name
- SEASIDE WELLNESS OF PALM BEACH LLC
- Entity Type
- Organization
- Location Address
- 106 BLOSSOM LN PALM BEACH SHORES, FL 33404
- Location Phone
- (888) 831-4855
- Location Fax
- (949) 606-0488
- Mailing Address
- 621 NW 53RD ST STE 370 BOCA RATON, FL 33487
- Mailing Phone
- (978) 788-4460
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2025
- Last Update Date
- 03-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2320015
- Facility Type
- Other - RESIDENTIAL MENTAL HEALTH
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- NICHOLAS PETRILLO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Seaside Wellness Of Palm Beach Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992502660, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992502660, enumerated as an "organization" on February 28, 2025.
The provider is located at 106 BLOSSOM LN PALM BEACH SHORES, FL 33404 and the phone number is (888) 831-4855.
Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
