NPIMap

Organization Active NPI

Suntree Psychiatry Inc

  • Psychiatry Physician
  • Melbourne, FL
National Provider Identifier
1326063090
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME62778 Issued in FL
Legal business name
SUNTREE PSYCHIATRY INC
Practice address
1331 Bedford Dr
Suite 101
Melbourne, FL 32940-1987
Phone
(321) 751-7545
Fax
(321) 751-0311
NPI assigned
Jul 13, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Yanik Lourdes Luis-Roig, M.D.NPI 1518904606
Title
President
Phone
(321) 751-7545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME62778 FL Primary

Addresses

Primary practice location

1331 Bedford Dr
Suite 101
Melbourne, FL 32940-1987

Mailing address

1331 Bedford Dr
Suite 101
Melbourne, FL 32940-1987
Phone (321) 751-7545

Other identifiers 1

IdentifierTypeStateIssuer
26899OtherFLBCBS

National Provider Directory

National Provider Directory

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1326063090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BEDFORD DR",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401987",
            "telephone_number": "321-751-7545",
            "fax_number": "321-751-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BEDFORD DR",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401987",
            "telephone_number": "321-751-7545",
            "fax_number": "321-751-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTREE PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LUIS-ROIG",
        "authorized_official_first_name": "YANIK",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-751-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.