Promoveo Psychiatry and Wellness P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PROMOVEO PSYCHIATRY AND WELLNESS P.A.

Practice address

2691 NE 20TH St
Pompano Beach, FL 33062-3022

Phone

(561) 299-0202

Fax

(561) 299-0505

NPI assigned

Jun 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Bibiana Susaimanickam, MD

Title

Chief Medical Officer

Phone

(561) 299-0202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bibiana Mary Susaimanickam, MD

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1528313533
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1053156836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 NE 36TH ST # 5472",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647538",
            "telephone_number": "561-299-0202",
            "fax_number": "561-299-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 NE 20TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330623022",
            "telephone_number": "561-299-0202",
            "fax_number": "561-299-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOVEO PSYCHIATRY AND WELLNESS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "SUSAIMANICKAM",
        "authorized_official_first_name": "BIBIANA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "561-299-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Elizabeth Profitt
• Progress Medical Center
• Progressive Behavioral Science
• Progressive Medical Bracing LLC
• Promedical Centers Corp
• Prompt Lab
• Prosthetic Innovations Inc
• Providence Health, LLC
• Tiffany Lee Pruett, BA MSW
• Norma Nichelle Pruitt

• Psychiatry Physician in Pompano Beach, FL
• Providers in Pompano Beach, 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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.