Family Psychiatry, Inc.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

OS10199 Issued in FL

Legal business name

FAMILY PSYCHIATRY, INC.

Practice address

12641 World Plaza LN
Suite 56
Fort Myers, FL 33907-3990

Phone

(239) 220-3543

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Marianne G Krouk, DONPI 1881800902

Title

Director of Corporation

Phone

(239) 220-3543

Specialties & licenses 2

Addresses

Practitioners 1

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

• Marianne G. Krouk, DO

  • Child & Adolescent Psychiatry Physician
  • Fort Myers, FL
  • NPI 1881800902
  NPD (past) Authorized official

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1134419872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 HARBORTOWN LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194650",
            "telephone_number": "239-220-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12641 WORLD PLAZA LN",
            "address_2": "SUITE 56",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073990",
            "telephone_number": "239-220-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "KROUK",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATION",
        "authorized_official_telephone_number": "239-220-3543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS10199",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "OS10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Pharmacy & Medical Supply
• Family Preservation Service
• Family Preservation Services
• Family Preservation Services
• Family Preservation Services
• Family Tree Agency LLC
• Family Universal Medical Center, LLC
• Estafan N.S. Farag, LCSW
• John Farag, D.O.
• Sherry Farag, M.D.

• Child & Adolescent Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.