Organization Active NPI

Anderson Mental Health Services LLC

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1134829799
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ANDERSON MENTAL HEALTH SERVICES LLC
Practice address
805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046
Phone
(954) 994-1312
Fax
(954) 466-3888
NPI assigned
Mar 3, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gintaras Razaitis, PMHNP-BCNPI 1518413434
Title
Owner
Phone
(954) 994-1312

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

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

1400 E Oakland Park Blvd
Ste 111
Oakland Park, FL 33334

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046

Mailing address

805 E Broward Blvd Ste 301
Fort Lauderdale, FL 33301-2046
Phone (954) 994-1312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2024.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1134829799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E BROWARD BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012046",
            "telephone_number": "954-994-1312",
            "fax_number": "954-466-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E BROWARD BLVD STE 301",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012046",
            "telephone_number": "954-994-1312",
            "fax_number": "954-466-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "RAZAITIS",
        "authorized_official_first_name": "GINTARAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-994-1312",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.