Organization Active NPI

Genpsych LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Palm Beach, FL
National Provider Identifier
1275208589
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENPSYCH LLC
Practice address
2505 Metrocentre Blvd Ste 300
West Palm Beach, FL 33407-3114
Phone
(561) 894-0400
NPI assigned
Aug 10, 2021
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GENPSYCH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Henry OdunlamiNPI 1174570212
Title
Ceo
Phone
(908) 526-8370

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2505 Metrocentre Blvd Ste 300
West Palm Beach, FL 33407-3114

Mailing address

1065 US Highway 22 Ste 3
Bridgewater, NJ 08807-2949
Phone (908) 526-8370

National Provider Directory

National Provider Directory
Tax ID family
Genpsych LLC2 organizations share this tax ID, including this one
Part of
Genpsych LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1275208589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 US HIGHWAY 22 STE 3",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072949",
            "telephone_number": "908-526-8370",
            "fax_number": "908-801-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 METROCENTRE BLVD STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073114",
            "telephone_number": "561-894-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENPSYCH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENPSYCH LLC",
        "enumeration_date": "2021-08-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "ODUNLAMI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-526-8370"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.