Individual provider Active NPI

Gil Lichtshein, MD

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1245334622
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME87712 Issued in FL
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

Updated by the provider on Feb 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U1342ZOtherFLPROVIDER

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
I20230404000022 FL Practitioner - Psychiatry 8527390400 Reassigns benefits to 3 organizations

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
Marriage and Family Services IncGroup PAC ID 5294060984, 7 clinicians

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

LicenseStateTypeSpecialty
ME87712FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS of Palm Beach Inc Psychiatry CurrentSince Sep 20, 2024 Accepting new patients
Marriage & Family Services, Inc. CurrentSince Mar 23, 2023 Accepting new patients
JMS Wellness Within LLC Psychiatry CurrentSince Sep 6, 2025 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.

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

Verify at the official NPI Registry.