Addiction and Psychiatric Care, LLC
Organization Active NPI Addiction Psychiatry Physician · Pinellas Park, FL
NPI 1093375784 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1093375784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Psychiatry Physician 2084P0802X
- Legal business name
- ADDICTION AND PSYCHIATRIC CARE, LLC
- Practice address
- 6580 72ND Ave N Ste B
Pinellas Park, FL 33781-4047 - Phone
- (727) 440-5612
- Fax
- (727) 623-9717
- NPI assigned
- Jun 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Syed Kamil Ali Zaidi, MD
- Title
- Ceo
- Phone
- (727) 440-5612
Practitioners 10
-
Syed K Zaidi, M.D
-
Sofia Yaseen Arain, M.D.
-
Kimberly Christine Adamczak, MSW, LCSW
-
Toni Vivian Hickey, PMHNP
-
Amanda Keri Lum, DNP, APRN, PMHNP
-
Heidi Marie Noyes, RMHCI
-
Nishauna L Ball, MSW
National Provider Directory
Locations
6580 72nd Ave N
Ste B
Pinellas Park, FL 33781
Phone (727) 440-5612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician |
2084P0802X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
6580 72ND Ave N Ste B
Pinellas Park, FL 33781-4047
Mailing address
6580 72ND Ave N Ste B
Pinellas Park, FL 33781-4047
Phone (727) 440-5612
NPI Registry JSON
{
"created_epoch": "1560643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1093375784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6580 72ND AVE N STE B",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337814047",
"telephone_number": "727-440-5612",
"fax_number": "727-623-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6580 72ND AVE N STE B",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337814047",
"telephone_number": "727-440-5612",
"fax_number": "727-623-9717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION AND PSYCHIATRIC CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-16",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "ZAIDI",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "KAMIL ALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-440-5612",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
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- Ad Astra Medical Group Professional
- Kimberly Christine Adamczak
- Simuel Adams
- Adaptive Health Psychology PLLC
- Mopelola Adejoke Adewunmi
- Jennifer Adkins
- Adoption Related Services of Pinellas
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All providers in Pinellas Park, FL · Addiction Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.