Gainesville Psychiatry and Forensic Services L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

ME84024 Issued in FL

Legal business name

GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C.

Practice address

1103 SW 2ND Ave
Gainesville, FL 32601

Phone

(352) 378-9116

Fax

(352) 378-9779

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Ozoemezinem Adu

Title

Business Manager

Phone

(352) 378-9116

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Lawrence Ogagaoghene Adu, MD

  • Psychiatry Physician
  • Gainesville, FL
  • NPI 1679597702
  Medicare reassignment NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1295756385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SW 2ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016116",
            "telephone_number": "352-378-9116",
            "fax_number": "352-378-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SW 2ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-378-9116",
            "fax_number": "352-378-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE PSYCHIATRY AND FORENSIC SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "ADU",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "OZOEMEZINEM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "352-378-9116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ME84024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024658500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Physical Therapy and Rehabilitation Services Inc
• Gainesville Physicians LLC
• Gainesville Physicians LLC
• Gainesville Plastic Surgery Associates PL
• Gainesville Podiatry Associates
• Gainesville Radiology Group West, LLC
• Gainesville Rehabilitation and Nursing Center LLC
• Gainesville Sleep Lab, LLC
• Gainesville Spine & Injury, LLC
• Gainesville Urgent Care Associates, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.