Lourdes J Chahin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME101369 Issued in FL

Practice address

7789 NW Beacon Square Blvd
Boca Raton, FL 33487-1326

Phone

(561) 241-7977

Fax

(561) 981-5355

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1003851148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 NW BEACON SQUARE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871326",
            "telephone_number": "561-241-7977",
            "fax_number": "561-981-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 NW BEACON SQUARE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871326",
            "telephone_number": "561-241-7977",
            "fax_number": "561-981-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHIN",
        "first_name": "LOURDES",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME101369",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "057154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900480495A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900480495B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad G Kelman MD PA
• Chad Lalsingh DMD PA
• Chad M. Kaplan, MD, LLC
• Maria Chaffee
• Luciana Chagas Prado, MD
• Chaim Alen Jakob PA
• Eli Chaimowicz, L.AC.,L.M.T.
• Michael J. Chalef, D.D.S.
• Gilbert Chalepas, PSY.D.
• Renata Chalfin, M.D.

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.