Medical City Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MEDICAL CITY PSYCHIATRY PLLC

Practice address

6900 Tavistock Lakes Blvd
Orlando, FL 32827-7589

Phone

(407) 476-4725

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Henry Boilini, MDNPI 1396730743

Title

Owner

Phone

(407) 212-1794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Henry Alexander Boilini, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1396730743
  Medicare reassignment Care Compare group NPD Authorized official
• Mabit C Gonzalez, MD

  • Psychiatry Physician
  • Kissimmee, FL
  • NPI 1366028110
  Medicare reassignment Care Compare group NPD
• Enrique Vargas, M.D.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1265849640
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1245096080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "407-212-1794",
            "fax_number": "407-987-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277589",
            "telephone_number": "407-476-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CITY PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BOILINI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-212-1794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Concierge Inc
• Medical Equipment and Supplies of America LLC
• Medical Equipment Solutions of Orlando
• Medical Express Depot LLC

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.