Organization Active NPI

Good Shepherd Psychiatric Consultant, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1255004669
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC
Practice address
8910 Miramar Pkwy Ste 211a
Miramar, FL 33025-4961
Phone
(754) 226-5509
Fax
(754) 300-3904
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Urmene PierreNPI 1396104253
Title
Administrator
Phone
(954) 822-2754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8910 Miramar Pkwy Ste 211a
Miramar, FL 33025-4961

Mailing address

510 NW 98TH St
Miami, FL 33150-1617
Phone (954) 822-2754

Other identifiers 1

IdentifierTypeStateIssuer
1578711719OtherFLNPI

Other names 1

  • Good Shepherd Psychiatric Consultant, INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.infogoodshepherd.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Good Shepherd Loving2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8910 Miramar Pkwy
Ste 211A
Miramar, FL 33025
Phone (754) 226-5509

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1255004669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501617",
            "telephone_number": "954-822-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 211A",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254961",
            "telephone_number": "754-226-5509",
            "fax_number": "754-300-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "URMENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-822-2754"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578711719",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.infogoodshepherd.org",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8910 Miramar Pkwy Ste 211A",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330254961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Shepherd Psychiatric Consultant, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.