Organization Active NPI

Sacred Heart Psychiatry PA

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1326671447
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SACRED HEART PSYCHIATRY PA
Practice address
27417 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6939
Phone
(813) 517-5989
Fax
(727) 291-7451
NPI assigned
Feb 17, 2020
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Helen Choi, MDNPI 1093042293
Title
Owner
Phone
(813) 517-5989

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

27417 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6939

Mailing address

27417 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6939
Phone (813) 517-5989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201104002711 FL Part B Supplier - Clinic/Group Practice 3476963398 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

4907 Van Dyke Rd
Lutz, FL 33558
Phone (813) 517-5989

27417 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 517-5989

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1326671447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27417 CASHFORD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446939",
            "telephone_number": "813-517-5989",
            "fax_number": "727-291-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27417 CASHFORD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446939",
            "telephone_number": "813-517-5989",
            "fax_number": "727-291-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-517-5989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.