Active NPI
Gil Lichtshein, MD
- Psychiatry Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME87712
- Practice address
- 7100 West Camino Real
Suite 404
Boca Raton, FL 33433-5510 - Phone
- (561) 300-4052
- Fax
- (561) 300-4051
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME87712 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME87712 | FL |
Addresses
Primary practice location
7100 West Camino Real
Suite 404
Boca Raton, FL 33433-5510
Mailing address
7100 West Camino Real
Suite 404
Boca Raton, FL 33433-5510
Phone (561) 300-4052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U1342Z | Other | FL | PROVIDER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15204 S Jog Rd
Suite 303
Delray Beach, FL 33446-2171
Phone (561) 503-3059
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME87712 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS of Palm Beach Inc | Psychiatry | Current | Accepting new patients |
| Marriage & Family Services, Inc. | Current | Accepting new patients | |
| JMS Wellness Within LLC | Psychiatry | Current | Accepting new patients |
Locations
7100 Camino Real
Ste 30239
Boca Raton, FL 33433
Phone (561) 800-1681
15204 S Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 503-3059
17325 NW 27th Ave
Ste 105
Miami Gardens, FL 33056
Phone (305) 342-9421
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Delray Beach, FL
- NPI 1265720569
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Gardens, FL
- NPI 1245043645
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676073600000",
"number": "1245334622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 WEST CAMINO REAL",
"address_2": "SUITE 404",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-300-4052",
"fax_number": "561-300-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 WEST CAMINO REAL",
"address_2": "SUITE 404",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "561-300-4052",
"fax_number": "561-300-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTSHEIN",
"first_name": "GIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME87712",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME87712",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "U1342Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.