Sermac Medical & Psych Care, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME-0059794 Issued in FL

Legal business name

SERMAC MEDICAL & PSYCH CARE, INC.

Practice address

5730 Corporate Way
Suite 100
West Palm Beach, FL 33407-2032

Phone

(561) 863-7800

Fax

(561) 840-0747

NPI assigned

Feb 25, 2008

Last updated

Jun 29, 2012By 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

Mr. Serge Thys, M.D.NPI 1750391371

Title

Dr./Business Owner

Phone

(561) 863-7800

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Sermac Medical Psych Care Inc2 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.

• Sermac Medical & Psych Care, Inc.

  • Psychiatry Physician
  • Palm Beach Gardens, FL
  • NPI 1245927789
  NPD tax ID

Networks

• HealthSun Health Plans Network

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.

• Serge Thys, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1750391371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1326217274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 CORPORATE WAY",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072032",
            "telephone_number": "561-863-7800",
            "fax_number": "561-840-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 CORPORATE WAY",
            "address_2": "SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072032",
            "telephone_number": "561-863-7800",
            "fax_number": "561-840-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERMAC MEDICAL & PSYCH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "THYS",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "DR./BUSINESS OWNER",
        "authorized_official_telephone_number": "561-863-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059794",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME-0059794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER-NPI",
            "identifier": "1750391371",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376590300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.