Organization Active NPI

Palm Beach Psychiatry Associates

  • Psychiatric/Mental Health Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1194048249
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP2641072 Issued in FL
Legal business name
PALM BEACH PSYCHIATRY ASSOCIATES
Practice address
9647 Porta Leona LN
Boynton Beach, FL 33472-2775
Phone
(561) 523-2155
Fax
(561) 880-6991
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Linda Gay Morris, ARNP-BC
Title
Ceo
Phone
(561) 523-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X ARNP2641072 FL Primary

Addresses

Primary practice location

9647 Porta Leona LN
Boynton Beach, FL 33472-2775

Mailing address

9647 Porta Leona LN
Boynton Beach, FL 33472-2775
Phone (561) 523-2155

Other identifiers 1

IdentifierTypeStateIssuer
769010000MedicaidFL

National Provider Directory

National Provider Directory

Locations

1515 N University Dr
Coral Springs, FL 33071
Phone (954) 656-2821

1601 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-4321

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1194048249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9647 PORTA LEONA LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722775",
            "telephone_number": "561-523-2155",
            "fax_number": "561-880-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9647 PORTA LEONA LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722775",
            "telephone_number": "561-523-2155",
            "fax_number": "561-880-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PSYCHIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-523-2155",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2641072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769010000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.