Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1356322457 Deactivated / Inactive NPI Male Practitioner

Edward Jack Bodenstein , MSW

Psychologist • Delray Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Bodenstein has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date September 16, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Edward Bodenstein, MSW was a registered Psychologist practicing in Delray Beach, FL. Throughout an active medical career spanning 14 years, Edward Bodenstein provided care at the practice location at 16244 SOUTH MILITARY TRAIL until profile deactivation on 2019-09-16.

Practice Location & Contact Primary Location

Practice Address

16244 South Military Trail
Ste 460

Delray Beach, FL 334841411

Telephone 5616384477
Fax 5616384477
Associated Practice Facility / Clinic
🏢 Amare Family Health Llc Facility NPI 1306738570

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Delray Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
23 Specialists

Practicing in Delray Beach, FL (2327 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL SW4721

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Maria Feliza Salalac , RPT

Physical Therapist

NPI 1356520415

Registered Physical Therapist

Eileen Hande , BS MA LMT

Massage Therapist

NPI 1619078391

BSMALMT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 16, 2019

Record deactivated on September 16, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 16244 SOUTH MILITARY TRAIL, STE 460, DELRAY BEACH, FL 334841411 (Tel: 5616384477)

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Updated Business Mailing Address July 08, 2007

Registered at 13303-B PINEAPPLE PALM CT, DELRAY BEACH, FL 334841411 (Tel: 5616384477)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD BODENSTEIN, MSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #SW4721 in FL)

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Initial NPI Registration & Enumeration November 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356322457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: July 08, 2007
Deactivation Date: September 16, 2019

Mailing Address

13303-B Pineapple Palm Ct

Delray Beach, FL 334841411

Phone: 5616384477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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