Florida MH LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FLORIDA MH LLC

Practice address

1515 S Federal Hwy Ste 215
Boca Raton, FL 33432-7404

Phone

(561) 331-1722

NPI assigned

Dec 12, 2021

Last updated

Dec 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Si Arthur Chen, PSYDNPI 1568976561

Title

Owner

Phone

(561) 331-1722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Si Chen, PSYD

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1568976561
  NPD Authorized official

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1306505805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7488 COURTYARD RUN E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S FEDERAL HWY STE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327404",
            "telephone_number": "561-331-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SI",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-331-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568976561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.