Organization Active NPI

Treasure Coast Psychiatric Services, P.a.

  • Prescribing (Medical) Psychologist
  • Stuart, FL
National Provider Identifier
1083802821
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
TREASURE COAST PSYCHIATRIC SERVICES, P.A.
Practice address
789 S Federal Hwy Suite 213
Stuart, FL 34994-2962
Phone
(772) 286-8826
Fax
(772) 283-5531
NPI assigned
Oct 5, 2007
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Stacey LosardoNPI 1699062836
Title
Vice President
Phone
(772) 286-8826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X FL Primary

Addresses

Primary practice location

789 S Federal Hwy Suite 213
Stuart, FL 34994-2962

Mailing address

2740 SW Martin Downs Blvd
#305
Palm City, FL 34990-6046
Phone (772) 286-8826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041022000769 FL Part B Supplier - Clinic/Group Practice 2961463955 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

1343 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 225-2960

2740 SW Martin Downs Blvd
#305
Palm City, FL 34990

789 SW Federal Hwy
Ste 213
Stuart, FL 34994
Phone (772) 286-8826

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1083802821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SW MARTIN DOWNS BLVD",
            "address_2": "#305",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906046",
            "telephone_number": "772-286-8826",
            "fax_number": "772-283-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 S FEDERAL HWY SUITE 213",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942962",
            "telephone_number": "772-286-8826",
            "fax_number": "772-283-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PSYCHIATRIC SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "LOSARDO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "772-286-8826"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.