S & C Psychiatric Services PA

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

S & C PSYCHIATRIC SERVICES PA

Practice address

20760 NE 4TH CT Apt 106
Miami, FL 33179-1884

Phone

(305) 331-8695

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Yves Gualbert Dehaut, NPNPI 1942888417

Title

Pmhnp

Phone

(305) 331-8695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Yves Dehaut

  • Psychiatry Physician
  • Hollywood, FL
  • NPI 1942888417
  Medicare reassignment Authorized official
• Sophonie Mitil, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
  • NPI 1760208912
  Medicare reassignment

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1114676871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849045",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330841045",
            "telephone_number": "305-331-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20760 NE 4TH CT APT 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791884",
            "telephone_number": "305-331-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & C PSYCHIATRIC SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "DEHAUT",
        "authorized_official_first_name": "YVES",
        "authorized_official_middle_name": "GUALBERT",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "305-331-8695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Miami, FL
• Providers in Miami, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.