OrganizationActive
Great Lakes Psychotherapy LLC
NPI 1114715083 · Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Worth Beach, FL
Provider details
- NPI number
- 1114715083
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Israel, Manager(561) 318-1474
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2328 10th Ave N Ste 500
Lake Worth Beach, FL 33461-6615
Phone: (561) 318-1474
Approximate (ZIP-level) locationGet directions
Mailing address
5640 W Maple Rd Ste 101
W Bloomfield, MI 48322-3717
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.