Individual provider Active NPI

Julio Scardini, DO

  • Psychiatry Physician
  • Coral Springs, FL
National Provider Identifier
1174901862
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS16318 Issued in FL
Practice address
1725 N University Dr Ste 350
Coral Springs, FL 33071-6000
Phone
(954) 227-2700
NPI assigned
May 13, 2015
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X OS16318 FL Primary

Addresses

Primary practice location

1725 N University Dr Ste 350
Coral Springs, FL 33071-6000

Mailing address

8150 SW 72ND Ave Apt 11048
Miami, FL 33143-7776
Phone (954) 415-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000097 FL Practitioner - Psychiatry 9234558925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16318FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Psychiatry, LLC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Mindpath Health Florida, PLLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

7000 W Palmetto Park Rd
Ste 407
Boca Raton, FL 33433
Phone (954) 227-2700

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1174901862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 SW 72ND AVE APT 11048",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331437776",
            "telephone_number": "954-415-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716000",
            "telephone_number": "954-227-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARDINI",
        "first_name": "JULIO",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.