Florida Center for Psychiatric Services, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLC

Practice address

4600 Linton Blvd Ste 250
Delray Beach, FL 33445-6600

Phone

(425) 531-1528

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Taverne

Title

Chief New Program Development Offic

Phone

(425) 531-1528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Vero Beach, FL
  • NPI 1598538712

  O20240123001340

  Same enrollment

Tax ID family

Florida Center for Psychiatric Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Vero Beach, FL
  • NPI 1598538712
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Vero Beach, FL
  • NPI 1598538712
  NPPES parent name

Practitioners 6

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

• Lindsay Alison Israel-Gaines, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1811182702
  NPD
• Fenton Gregory Lebon I, MD

  • Psychiatry Physician
  • Delray Beach, FL
  • NPI 1245989458
  NPD
• Kishan Nallapula, MD.

  • Psychiatry Physician
  • Alachua, FL
  • NPI 1265710586
  NPD
• Michael Fitzroy Nias, MSW

  • Social Worker
  • Gainesville, FL
  • NPI 1548448251
  NPD
• Theresa J. Gaser, LSW, MSSA

  • Professional Counselor
  • Columbus, OH
  • NPI 1225179294
  NPD
• Deborah Thompson-Lee

  • Family Nurse Practitioner
  • Pascagoula, MS
  • NPI 1891119715
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1083487201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 TECH CITY CIR STE 322",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157254",
            "telephone_number": "425-531-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD STE 250",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456600",
            "telephone_number": "425-531-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "TAVERNE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF NEW PROGRAM DEVELOPMENT OFFIC",
        "authorized_official_telephone_number": "425-531-1528"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.