Ultimate Soul Psych Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ULTIMATE SOUL PSYCH INC

Practice address

2598 E Sunrise Blvd Ste 2104
Fort Lauderdale, FL 33304-3230

Phone

(754) 300-7001

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Prof. Gabriela Alessandra Segnini, LMHC

Title

President

Phone

(954) 624-6929

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1124635669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230",
            "telephone_number": "754-300-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 E SUNRISE BLVD STE 2104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043230",
            "telephone_number": "754-300-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SOUL PSYCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "SEGNINI",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "ALESSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-624-6929",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "LMHC18408",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melina Udler, CAP, ICADC
• Michael James Uguccioni, M.D.
• Elizabeth Paige Ulcak, CRNA
• Alfredo Talay Ulloa, LMT
• Ultamed Corporation
• Jerry Ulysse
• Sharon Michelle Ulysse, APRN
• Uma Khanna, MD PA
• Beth Umansky, P.A.-C.
• Bolidy D. Ung, MD

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.